Provider Demographics
NPI:1225922792
Name:GRAIES PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:GRAIES PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAIES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:323-628-2650
Mailing Address - Street 1:1009 N PACIFIC AVE UNIT 4065
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2313
Mailing Address - Country:US
Mailing Address - Phone:323-384-3014
Mailing Address - Fax:
Practice Address - Street 1:1009 N PACIFIC AVE UNIT 4065
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2313
Practice Address - Country:US
Practice Address - Phone:323-384-3014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty