Organization Active NPI

Kellen R. Grayson Psy.D. LMFT Inc.

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1417805797
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KELLEN R. GRAYSON PSY.D. LMFT INC.
Practice address
507 Polk St Ste 260
San Francisco, CA 94102-3375
Phone
(415) 320-0141
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Dr. Kellen R Grayson, PSY.D. LMFTNPI 1912119934
Title
Ceo
Phone
(415) 320-0141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

507 Polk St Ste 260
San Francisco, CA 94102-3375

Mailing address

4070 Bridge St Ste 3
Fair Oaks, CA 95628-7557
Phone (415) 320-0141

National Provider Directory

National Provider Directory

Locations

507 Polk St
Ste 260
San Francisco, CA 94102
Phone (415) 320-0141

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1417805797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 BRIDGE ST STE 3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287557",
            "telephone_number": "415-320-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 POLK ST STE 260",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023375",
            "telephone_number": "415-320-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEN R. GRAYSON PSY.D. LMFT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "KELLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-320-0141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D. LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.