Gray Whale Marriage and Family Therapy Prof Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRAY WHALE MARRIAGE AND FAMILY THERAPY PROF CORP

Practice address

8426 Fireside Ave
San Diego, CA 92123-2848

Phone

(714) 337-4969

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Victoria Bruaski, LMFTNPI 1114563996

Title

President

Phone

(619) 213-2470

Specialties & licenses 3

Addresses

Practitioners 1

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

• Lauren Victoria Bruaski

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1114563996
  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1194575019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231012",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921931012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 FIRESIDE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232848",
            "telephone_number": "714-337-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY WHALE MARRIAGE AND FAMILY THERAPY PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "BRUASKI",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-213-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunise Graves
• Tara Marie Graviss, EXPRESSIVE ARTS
• Constance Louise Gravitt, MBA
• Nathan Gravitz
• Joana Gray Sotelo, APCC
• Donna D Gray-Grant
• Amelia Anne Gray, PT, DPT
• Billie Gray, RN
• Edward Wyatt Gray, DDS
• Emily Kathryn Gray, M.D

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.