Peter Grayson, LCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP00587 Issued in RI

Practice address

600 Putnam Pike
Suite 7
Greenville, RI 02828-1486

Phone

(401) 949-2220

NPI assigned

Sep 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1235530551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BAYBERRY RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028822208",
            "telephone_number": "917-450-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PUTNAM PIKE",
            "address_2": "SUITE 7",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281486",
            "telephone_number": "401-949-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "PETER",
        "credential": "LCDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Giarrusso, M.ED., BCBA, LBA
• Allyson Marie Girouard, MSW, LCSW
• Elizabeth Gonzalez
• Maggie Gorton, OTR/L
• Christopher J Gould, DC
• Greenville Operations Ri LLC
• Yana Grigoryeva, BCBA, LBA
• Leela Haghanizadeh, LICSW
• Michael G Haley, PHYSICAL THERPIST MS
• Dena C Hall, O.D.

• Addiction (Substance Use Disorder) Counselor in Greenville, RI
• Providers in Greenville, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.