DR. VENICE JADE GRANT PSYD
NPI 1366019168
Psychologist in Walnut Creek, CA

Active since June 09, 2021PECOS Enrolled
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598(925) 788-8998 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Venice Jade Grant Psyd NPPES

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

DR. VENICE JADE GRANT PSYD (NPI 1366019168) is an individual psychologist in Walnut Creek, California and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stockton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366019168
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. VENICE JADE GRANTCredential: PSYD
Location Address2730 SHADELANDS DR BLDG 10Walnut Creek, CA 94598-2538
Mailing Address2730 Shadelands Dr Bldg 10Walnut Creek, CA 94598-2538 · (925) 788-8998
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 9, 2021
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1366019168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2730 SHADELANDS DR BLDG 10, Walnut Creek, CA 94598

Secondary Practice Location 1

Location 15517 Vintage CirStockton, CA 95219-2510 · Phone (925) 788-8998

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Venice Jade Grant Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830680743
PECOS Enrollment IDI20251118002561
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598
Behavior Analyst
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598
Behavior Technician
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598
Assistant Behavior Analyst
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598
Respite Care
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598
Behavior Technician
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598
Psychologist (Clinical)
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598
Behavior Technician
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598

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 Venice Grant's NPI number?

The NPI number for Venice Grant is 1366019168. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Venice Grant located?

Venice Grant practices at 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598. The listed phone number is (925) 788-8998.

What is Venice Grant's specialty?

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

Is Venice Grant enrolled in Medicare?

Yes. Venice Grant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Venice Grant was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.