Amy Ray, PH.D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005955 Issued in IL

Legal business name

AMY RAY, PH.D., P.C.

Practice address

350 Houbolt Rd
Suite 202
Joliet, IL 60431-8305

Phone

(815) 553-0788

Fax

(815) 553-0789

NPI assigned

Jun 1, 2011

Organization subpart

No

Name

Dr. Amy Leandra Ray, PH.D.NPI 1225368228

Title

Licensed Clinical Psychologist

Phone

(815) 553-0788

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Leandra Ray, PH.D.

  • Clinical Psychologist
  • Joliet, IL
  • NPI 1225368228

  IL

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in IL

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2011.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1043504657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BIRCH DR",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049740",
            "telephone_number": "815-553-0788",
            "fax_number": "815-553-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOUBOLT RD",
            "address_2": "SUITE 202",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318305",
            "telephone_number": "815-553-0788",
            "fax_number": "815-553-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY RAY, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LEANDRA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-553-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225368228",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerome Ames
• Amin & Ilyas Associates PLLC
• Daniyal Amin, DMD
• Amt Counseling Management Services
• Amt Counseling Mnagement Servises
• Anand Wellness Corp
• Anchor & Thrive Clinical Social Work Services, LLC
• Jessica Lynne Anderson-Gonzalez, LCSW
• Grace Caroline Anderson, PT, DPT
• Julie A Anderson

• All providers in Joliet, IL
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.

Verify at the official NPI Registry.