Active NPI
Stefanie a. Gray, PH.D.
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1013489277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- STEFANIE A. GRAY, PH.D.
- Practice address
- 132 Princess Pass
San Antonio, TX 78212-5337 - Phone
- (210) 570-2454
- Fax
- (210) 966-8959
- NPI assigned
- Dec 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stefanie A. Gray, PH.D.
- Title
- Sole Member
- Phone
- (210) 570-2454
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
132 Princess Pass
San Antonio, TX 78212-5337
Mailing address
132 Princess Pass
San Antonio, TX 78212-5337
Phone (210) 570-2454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14304738 | Other | CAQH ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8231 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 216-5818
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- San Antonio, TX
- NPI 1730698903
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1265923528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1013489277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 PRINCESS PASS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125337",
"telephone_number": "210-570-2454",
"fax_number": "210-966-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 PRINCESS PASS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125337",
"telephone_number": "210-570-2454",
"fax_number": "210-966-8959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEFANIE A. GRAY, PH.D.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-27",
"last_updated": "2022-03-23",
"certification_date": "2022-03-22",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "STEFANIE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "210-570-2454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "14304738",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.