Booker Gray

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

424 Guerrero St
San Francisco, CA 94110-1015

Phone

(415) 621-5661

NPI assigned

May 2, 2014

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center on Juvenile and Criminal Justice

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
  • NPI 1750596300
  NPD (past)

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1376953091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BOARDMAN PL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034729",
            "telephone_number": "415-621-5661",
            "fax_number": "415-621-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 GUERRERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101015",
            "telephone_number": "415-621-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Boardman Pl",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941034729",
            "country_code": "US",
            "telephone_number": "415-621-5661",
            "fax_number": "415-621-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BOOKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Graviet, LCSW
• Amber Lynn Gray
• Andrew Thomas Gray, MD PHD
• Ariyana Gray
• Beth Maureen Gray, RN MS CNS
• Courtney Gray
• Diana Gray, PHD
• Heidi E. Gray, LMFT
• John Alan Gray, M.D., PH.D.
• Jonathon Gray, MFT

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.