MR. DAVID GRAYSON (NPI# 1932507522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932507522 |
| Entity Type | Individual |
| Full Name | MR. DAVID GRAYSON |
| Credential | MFT- I |
| Practice Address |
1621 Brookside Rd Stockton CA 95204 |
| Mailing Address |
1817 Palm Stockton CA 95205 |
| Practice Telephone | 2096706799 |
| Mailing Telephone | 2096706799 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760752240 | David Elbert Grayson | Neurological Surgery | 17625 Se 45th Pl, Bellevue, WA 98006-6520 | 2011-12-30 |
| 1467410076 | David J Grayson | Family Medicine | 5420 Milan Rd, Firelands Corporate Health, Sandusky, OH 44870-5846 | 2006-05-03 |
| 1841291952 | David N. Grayson | Dentist | 1020 Littleton Rd, Parsippany, NJ 07054-1725 | 2005-08-10 |
| 1770865073 | David S Grayson | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2011-09-13 |
| 1063451268 | David Edward Grayson | Radiology | 2010 Health Campus Dr, Harrisonburg, VA 22801-8679 | 2006-06-05 |
| 1437108586 | David Dillard Grayson Jr. | Emergency Medicine | 7900 Fm 1826, Austin, TX 78737-1407 | 2006-05-08 |
| Street Address |
1621 BROOKSIDE RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| 1649680364 | Marc K Massey | Physician Assistant | 1800 N California St, Stockton, Ca, Stockton, CA 95204 | 2014-05-02 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805074 | Michael Leslie Lau | Counselor | 1176 Rosemarie Ln Apt 133, Stockton, CA 95207-6726 | 2020-09-14 |
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1417414608 | Dondre White | Counselor | 2433 Country Club Blvd Apt 106, Stockton, CA 95204-4733 | 2019-02-25 |
| 1073020731 | Sharlett Barnett Rose | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-01-03 |
| 1609387117 | Sunhouse | Counselor | 1781 Willow Park Way, Stockton, CA 95206-5832 | 2017-10-24 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1356870018 | Ana Sanchez | Counselor | 445 N. San Joaquin Street, Stockton, CA 95202 | 2017-06-07 |
| 1033647060 | Lisa Breshinsky | Counselor | 2200 Daniel Bray Hwy, Stockton, NJ 08559-1819 | 2017-06-04 |
| 1104353515 | Amy Elida Aitken | Counselor | 1803 W March Ln Ste C, Stockton, CA 95207-6414 | 2017-05-16 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.