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DR. MARISSA ILENE GRAN PHD
NPI 1871734756
Psychologist - Clinical in San Diego, CA

Active since March 23, 2009
1940 GARNET AVE STE 100, SAN DIEGO, CA 92109(619) 500-2104 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2022, Nov 30, 2022 (2 updates tracked since 2022).

About Dr. Marissa Ilene Gran Phd NPPES

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

DR. MARISSA ILENE GRAN PHD (NPI 1871734756) is an individual clinical provider in San Diego, California, licensed in California (PSY33066) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1871734756
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARISSA ILENE GRANCredential: PHD
Location Address1940 GARNET AVE STE 100San Diego, CA 92109-3575
Mailing Address3525 Del Mar Heights Rd # 115San Diego, CA 92130-2199 · (619) 500-2104
Phone(619) 500-2104
Sole ProprietorNo
Enumeration DateMarch 23, 2009
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1871734756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY33066
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1940 GARNET AVE STE 100, San Diego, CA 92109
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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 Marissa Gran's NPI number?

The NPI number for Marissa Gran is 1871734756. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Where is Marissa Gran located?

Marissa Gran practices at 1940 Garnet Ave Ste 100, San Diego, CA 92109. The listed phone number is (619) 500-2104.

What is Marissa Gran's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Marissa Gran was last updated on December 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.