Healthcare Provider Details

I. General information

NPI: 1033447339
Provider Name (Legal Business Name): ALINA GRAY PSY.D., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 E ALESSANDRO BLVD # A317
RIVERSIDE CA
92508-5084
US

IV. Provider business mailing address

231 E ALESSANDRO BLVD # A317
RIVERSIDE CA
92508-5084
US

V. Phone/Fax

Practice location:
  • Phone: 866-442-5777
  • Fax:
Mailing address:
  • Phone: 310-902-9266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number53060
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number30454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: