Victoria C. Granucci, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18074 Issued in CA

Practice address

1036 Sir Francis Drake Blvd
Suite 200
Kentfield, CA 94904-1427

Phone

(415) 460-0441

Fax

(415) 453-4514

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689705196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 200",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-460-0441",
            "fax_number": "415-453-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 200",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041427",
            "telephone_number": "415-460-0441",
            "fax_number": "415-453-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANUCCI",
        "first_name": "VICTORIA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Gombos
• April Azucena Gonzalez, PA-C
• Irwin Gootnick, M.D.
• Susan A. Gootnick, M.D.
• Carolyn Nan Gracie, M.D.
• Elizabeth P Greason, L.C.S.W.
• Julianne Guida
• Diamond Hardman
• Nancy Hughes Haugen, PH.D.
• Sheryl B. Hausman, PH.D.

• All providers in Kentfield, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.