Provider Demographics
NPI:1083400352
Name:GROUNDS, ZACHARY (MSCP, PSYD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:GROUNDS
Suffix:
Gender:
Credentials:MSCP, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3363 LEBON DR APT 304
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5206
Mailing Address - Country:US
Mailing Address - Phone:661-972-5700
Mailing Address - Fax:
Practice Address - Street 1:3363 LEBON DR APT 304
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5206
Practice Address - Country:US
Practice Address - Phone:661-972-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program