Gramercy Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRAMERCY THERAPY

Practice address

300 S Gramercy PL Apt 110
Los Angeles, CA 90020-4537

Phone

(310) 985-1022

NPI assigned

Mar 11, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter Taylor, LMFTNPI 1629460720

Title

Owner

Phone

(310) 985-1022

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Taylor

  • Marriage & Family Therapist
  • Humble, TX
  • NPI 1629460720
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1093390908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S GRAMERCY PL APT 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204537",
            "telephone_number": "310-985-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S GRAMERCY PL APT 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204537",
            "telephone_number": "310-985-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-985-1022",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629460720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "4999941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "601066713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Grajeda, AMFT
• Ian Mark Gralnek, MD
• John Jeffrey Grama, M.A.
• Sabrina Gramatica, MA, AMFT
• Emily O'Rourke Grambow, MS, CCC-SLP
• Kelly Gramillo, BA
• Liza Gramillo
• Robert William Gramlich, M.D.
• Caitlin Nicole Grams, LCSW
• David Grams, MFT INTERN

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.