Russell Groom, PSYD
NPI 1174963714 · Psychologist · Grass Valley, CA
Russell Groom, PSYD is a Psychologist provider in Grass Valley, CA (NPI 1174963714).
Provider details
- NPI number
- 1174963714
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2325 Clement Ave Ste aAlameda, CA 94501-7061Phone: (510) 908-3733
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Frequently asked questions
- What is Russell Groom's NPI number?
- Russell Groom's National Provider Identifier (NPI) is 1174963714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Groom's specialty?
- Russell Groom is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Russell Groom located?
- Russell Groom's practice location on file with NPPES is 12436 Beaver Dr, Grass Valley, CA 95945-8440.
- What is Russell Groom's phone number?
- The practice phone number listed in the NPPES registry for Russell Groom is (510) 908-3733.
- Is Russell Groom's NPI active?
- Yes — Russell Groom's NPI (1174963714) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.