Organization
GROUNDED SPIRIT PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD PANTOJA PHD (FOUNDER)
(914) 256-2899
Entity
Organization
Contact information
Practice address
291 BROADWAY RM 1002, NEW YORK, NY 10007-1883
(914) 256-2899
Mailing address
2005 PALMER AVE # 765, LARCHMONT, NY 10538-2437
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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