Individual provider · Type 1 NPI

Lisa R. Grossman, PhD

Clinical Psychologist · Santa Rosa, CA

NPI number 1215994199 Active

Practice location

825 College Ave
Santa Rosa, CA 95404-4108

Fax (707) 539-1355

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY19121 (CA)

Clinical Psychologist: 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 discip…

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About NPI 1215994199

Lisa R. Grossman, PhD's National Provider Identifier is 1215994199, issued on Apr 26, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 13, 2026.