DR. RUSSELL CHRIS GROOM PSYD
NPI 1174963714
Psychologist in Grass Valley, CA

Active since June 27, 2013
12436 BEAVER DR, GRASS VALLEY, CA 95945(510) 908-3733 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Russell Chris Groom Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL CHRIS GROOM PSYD (NPI 1174963714) is an individual psychologist in Grass Valley, California and active in the NPI registry since June 2013. He maintains a secondary practice location in Alameda.

NPPES Registry Identity

NPI1174963714
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RUSSELL CHRIS GROOMCredential: PSYD
Location Address12436 BEAVER DRGrass Valley, CA 95945-8440
Mailing Address12436 Beaver DrGrass Valley, CA 95945-8440 · (510) 908-3733
Sole ProprietorYes
Enumeration DateJune 27, 2013
Last NPPES UpdateMay 10, 2023
NPPES CertifiedMay 10, 2023
NPI 1174963714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
12436 BEAVER DR, Grass Valley, CA 95945

Secondary Practice Location 1

Location 12325 Clement Ave Ste AAlameda, CA 94501-7061 · Phone (510) 908-3733

Other Identifiers 1

Medicaid8121CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Groom's NPI number?

The NPI number for Russell Groom is 1174963714. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Russell Groom located?

Russell Groom practices at 12436 Beaver Dr, Grass Valley, CA 95945. The listed phone number is (510) 908-3733.

What is Russell Groom's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Russell Groom was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.