Active NPI
Gray Matter Behavioral Health
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Falmouth, MA
National Provider Identifier
1063113710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 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 DirectoryLocations
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.