Active NPI
Dianna Lynnette Grayer, MA, MFT
- Marriage & Family Therapist
- Petaluma, CA
National Provider Identifier
1649328865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 33934
- Practice address
- 7 4TH St
Suite 42
Petaluma, CA 94952-3043 - Phone
- (707) 769-1853
- Fax
- (707) 793-9840
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 33934 | CA | Primary |
Addresses
Primary practice location
7 4TH St
Suite 42
Petaluma, CA 94952-3043
Mailing address
4340 Roblar Rd
Petaluma, CA 94952-9758
Phone (707) 793-9840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649328865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 ROBLAR RD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949529758",
"telephone_number": "707-793-9840",
"fax_number": "707-793-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 4TH ST",
"address_2": "SUITE 42",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949523043",
"telephone_number": "707-769-1853",
"fax_number": "707-793-9840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYER",
"first_name": "DIANNA",
"middle_name": "LYNNETTE",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.