Active NPI
Tanya Gray-Dorsett
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1134517782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85124
- Practice address
- 2975 Treat Blvd Ste 5
Concord, CA 94518-3601 - Phone
- (925) 219-9009
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85124 | CA | Primary |
Addresses
Primary practice location
2975 Treat Blvd Ste 5
Concord, CA 94518-3601
Mailing address
2975 Treat Blvd Ste 5
Concord, CA 94518-3601
Phone (925) 219-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130912 | CA | MD | Social Worker |
| 85124 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1134517782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 TREAT BLVD STE 5",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183601",
"telephone_number": "925-219-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 TREAT BLVD STE 5",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183601",
"telephone_number": "925-219-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY-DORSETT",
"first_name": "TANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.