Gricelda Fragoso PSYD a Professional Psychology Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GRICELDA FRAGOSO PSYD A PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

721 N Vulcan Ave Ste 209
Encinitas, CA 92024-2191

Phone

(604) 878-4887

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Gricelda Fragoso, PSYDNPI 1689702540

Title

Clinical Psychologist/Owner

Phone

(760) 487-8488

Specialties & licenses 1

Addresses

Other names 1

• Mind Body Soul Psychology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gricelda Fragoso, PSY.D.

  • Clinical Psychologist
  • Edmond, OK
  • NPI 1689702540

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1669012787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 NIGHTSHADE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113500",
            "telephone_number": "858-371-1865",
            "fax_number": "760-557-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N VULCAN AVE STE 209",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242191",
            "telephone_number": "604-878-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRICELDA FRAGOSO PSYD A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "FRAGOSO",
        "authorized_official_first_name": "GRICELDA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "760-487-8488",
        "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": [
        {
            "organization_name": "Mind Body Soul Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind Body Soul Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Greene, OTR/L
• Laura Weiner Greene, OT
• Amanda Lynn Greenwell, LCSW
• Greg McElroy DDS Inc
• Amanda Jane Gretsch, O.T.R.
• Joyce Ho Grilo
• Stacy Grissen, MSN, AGNP
• Catherine Gross, PTA
• Gary P Gross, M. D.
• Jeanice F Gross, MFT

• Clinical Psychologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.