Organization Active NPI

Venice J Grant

  • Clinical Psychologist
  • Stockton, CA
National Provider Identifier
1508771502
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VENICE J GRANT
Practice address
2453 Grand Canal Blvd Ste 216
Stockton, CA 95207-8138
Phone
(209) 800-7611
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Venice J Grant, PSYD
Title
Clinical Director
Phone
(510) 875-3752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2453 Grand Canal Blvd Ste 216
Stockton, CA 95207-8138

Mailing address

5517 Vintage Cir
Stockton, CA 95219-2510
Phone (209) 800-7611

National Provider Directory

National Provider Directory

Locations

2453 Grand Canal Blvd
Ste 216
Stockton, CA 95207

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1508771502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 VINTAGE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192510",
            "telephone_number": "209-800-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 GRAND CANAL BLVD STE 216",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078138",
            "telephone_number": "209-800-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE J GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "VENICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "510-875-3752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.