Individual provider Active NPI

Linda Arnice Grays, PH.D.

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1033265541
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1615 Issued in GA
Practice address
741 Piedmont Avenue, N.E.
Suite 400
Atlanta, GA 30308-1464
Phone
(404) 892-3040
Fax
(404) 873-4905
NPI assigned
Jan 26, 2007
Last updated
Feb 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1615 GA Primary
Clinical Psychologist 103TC0700X 1615 GA

Addresses

Primary practice location

741 Piedmont Avenue, N.E.
Suite 400
Atlanta, GA 30308-1464

Mailing address

741 Piedmont Avenue, N.E.
Suite 400
Atlanta, GA 30308-1464
Phone (404) 892-3040

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1615GAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1033265541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PIEDMONT AVENUE, N.E.",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081464",
            "telephone_number": "404-892-3040",
            "fax_number": "404-873-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PIEDMONT AVENUE, N.E.",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081464",
            "telephone_number": "404-892-3040",
            "fax_number": "404-873-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYS",
        "first_name": "LINDA",
        "middle_name": "ARNICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1615",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.