Provider Demographics
NPI:1376432591
Name:GROUNDED PSYCH FAMILY, COUPLE, AND INDIVIDUAL THERAPY, PROFESSIONAL CO
Entity type:Organization
Organization Name:GROUNDED PSYCH FAMILY, COUPLE, AND INDIVIDUAL THERAPY, PROFESSIONAL CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERS-SALNAVE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-629-1059
Mailing Address - Street 1:PO BOX 2643
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-7643
Mailing Address - Country:US
Mailing Address - Phone:510-629-1059
Mailing Address - Fax:
Practice Address - Street 1:5297 COLLEGE AVE STE 201
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1798
Practice Address - Country:US
Practice Address - Phone:510-629-1059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty