Great Valley Academy

Primary specialty

School CounselorTaxonomy code 101YS0200X

Legal business name

GREAT VALLEY ACADEMY

Practice address

3200 Tully Rd
Modesto, CA 95350-0811

Phone

(209) 876-9446

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Anderson, M.A.

Title

Superintendent/Ceo

Phone

(209) 876-9446

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1619660800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500811",
            "telephone_number": "209-876-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500811",
            "telephone_number": "209-876-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT VALLEY ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SUPERINTENDENT/CEO",
        "authorized_official_telephone_number": "209-876-9446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Warren Gratian, M.D.
• Shakena Graves
• Aliyah Gray
• Sharee Gray
• Robyn L Grayson
• Greater Modesto Dental Implant &Oral Surgery Center
• Greater Modesto Medical Surgical Associates Inc.
• Greater Modesto Medical Surgical Associates, Inc.
• Greater Modesto Medical Surgical Associates, Inc.
• Lauren Margaret Greco

• School Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.