Graywood Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRAYWOOD WELLNESS LLC

Practice address

31601 Avenida Los Cerritos
San Juan Capistrano, CA 92675-1798

Phone

(415) 450-0031

NPI assigned

Jun 19, 2026

Last updated

Jun 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Tinervin

Title

President of Operations

Phone

(415) 450-0031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1174459911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31601 AVENIDA LOS CERRITOS",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31601 AVENIDA LOS CERRITOS",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751798",
            "telephone_number": "415-450-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYWOOD WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "TINERVIN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "415-450-0031"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Goodman
• Allison Catherine Gordon
• Kayla Gradillas, ATC
• Hailey Gravelle
• John-Paul Gray, PHD
• Scott Greenspan, MD
• Jordan Griffin
• Jeanette Joshu Grimm, D.C.
• Firozeh Gruber, MD
• William Gustin, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.