Organization Active NPI

Gray Matter Behavioral Health

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Falmouth, MA
National Provider Identifier
1063113710
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
GRAY MATTER BEHAVIORAL HEALTH
Practice address
314 Gifford St Unit 5
Falmouth, MA 02540-0212
Phone
(857) 400-4624
NPI assigned
Mar 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Taylor Gray, APRN
Title
Owner
Phone
(857) 400-4624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X Primary

Addresses

Primary practice location

314 Gifford St Unit 5
Falmouth, MA 02540-0212

Mailing address

1834 Centre St Unit 320339
West Roxbury, MA 02132-0212
Phone (857) 400-4624

National Provider Directory

National Provider Directory

Locations

1834 Centre St
Unit 320339
West Roxbury, MA 02132

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1063113710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 CENTRE ST UNIT 320339",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021320212",
            "telephone_number": "857-400-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GIFFORD ST UNIT 5",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025400212",
            "telephone_number": "857-400-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY MATTER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-400-4624",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.