Individual provider Active NPI

Laura Craig-Bray, PH.D.

  • Psychologist
  • North Andover, MA
National Provider Identifier
1053461426
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6891 Issued in MA
Practice address
55 Heath Rd
North Andover, MA 01845-4509
Phone
(978) 225-3467
NPI assigned
Jan 10, 2007
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6891 MA Primary
Clinical Psychologist 103TC0700X 6891 MA

Addresses

Primary practice location

55 Heath Rd
North Andover, MA 01845-4509

Mailing address

73 Turnpike St # 1024
North Andover, MA 01845-5045
Phone (978) 225-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 22, 2018 through Nov 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6891MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Trust Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1053461426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 TURNPIKE ST # 1024",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455045",
            "telephone_number": "978-225-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HEATH RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454509",
            "telephone_number": "978-225-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG-BRAY",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-01-16",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6891",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.