Organization Active NPI

Grounded Spirit Psychology PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1891674396
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GROUNDED SPIRIT PSYCHOLOGY PLLC
Practice address
303 5TH Ave RM 1002
New York, NY 10016-6639
Phone
(914) 256-2899
Fax
(914) 222-8974
NPI assigned
Aug 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Gerald Pantoja, PHDNPI 1417600867
Title
Founder
Phone
(914) 256-2899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

303 5TH Ave RM 1002
New York, NY 10016-6639

Mailing address

2005 Palmer Ave # 765
Larchmont, NY 10538-2437
Phone (914) 256-2899

National Provider Directory

National Provider Directory

Locations

2005 Palmer Ave
#765
Larchmont, NY 10538

291 Broadway
Rm 1002
New York, NY 10007
Phone (917) 873-1022

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1891674396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PALMER AVE # 765",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382437",
            "telephone_number": "914-256-2899",
            "fax_number": "914-222-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166639",
            "telephone_number": "914-256-2899",
            "fax_number": "914-222-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED SPIRIT PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "PANTOJA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "914-256-2899",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.