Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grounded Mind Psychology PLLC

Organization Psychologist · NPI 1073478137

Grounded Mind Psychology PLLC is a Psychologist in Broomfield, Colorado. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11994 Ridge Pkwy
Broomfield, CO 80021-5155
Phone: (702) 464-7515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1073478137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamal Waire — Owner · (718) 915-1426
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 21, 2025
Mailing address4845 Pearl East Circle Ste 118, Pmb 57630, Boulder, CO 80301

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