Active NPI
Colleen Andrea Ray, PH.D.
- Clinical Neuropsychologist
- Tucson, AZ
National Provider Identifier
1003131848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 4088
- Practice address
- 7461 E Tanque Verde Rd
Tucson, AZ 85715-3477 - Phone
- (520) 352-9955
- Fax
- (520) 352-9960
- NPI assigned
- Apr 5, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4088 | AZ | Primary |
Addresses
Primary practice location
7461 E Tanque Verde Rd
Tucson, AZ 85715-3477
Mailing address
7461 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 352-9955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4088 | AZ | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1003131848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7461 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153477",
"telephone_number": "520-352-9955",
"fax_number": "520-352-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7461 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153477",
"telephone_number": "520-352-9955",
"fax_number": "520-352-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "COLLEEN",
"middle_name": "ANDREA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "4088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.