Adrienne Grayson

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

686 E Mill St
San Bernardino, CA 92415-5230

Phone

(909) 421-9470

NPI assigned

May 20, 2016

Sex

Female

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

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.

• County of San Bernardino

  dba DAAS Age Wise

  • Adult Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1598328072
  NPD (past)
• County of San Bernardino

  dba OPG Mental Health Services

  • Adult Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1821601063
  NPD (past)

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1891142733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 E MILL ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150647",
            "telephone_number": "909-798-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 E MILL ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924155230",
            "telephone_number": "909-421-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "ADRIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Gray-Garrett
• Bobby Gray
• Dyneisha Gray
• Stacy Lynn Gray
• Candice Grayes
• Genesis Grayson
• Great Horizons Hospice, Inc
• Great Mind Counseling and Skill Building Center LLC
• Great Mind Family Counseling and Skill Building Center, Inc.
• Green View Hospice Care, Inc.

• Rehabilitation Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.