Ingrid M Granados

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

111 Smith Ranch Rd
San Rafael, CA 94903-1939

Phone

(415) 491-3000

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1831715788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 LOWELL AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041168",
            "telephone_number": "415-602-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITH RANCH RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031939",
            "telephone_number": "415-491-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Kerner Blvd",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949014840",
            "country_code": "US",
            "telephone_number": "415-473-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Willow Pass Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945207923",
            "country_code": "US",
            "telephone_number": "925-825-1793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "INGRID",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Gozurian, MA
• Gary A Grablin, DDS
• Courtney Gradl
• Kristin Graetz
• Kathrin Susanne Graller, LMT
• Beth Grant, BSN, RN, PHN
• Marsha Elizabeth Grant, R.N.
• Tammie D Grant
• Kerry Graser, M.S.
• Erin Delia Gray, LMFT

• Counseling Psychologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.