Sharon L Gray, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3086-57 Issued in WI

Practice address

477 S Nicolet Rd
Appleton, WI 54914-8270

Phone

(920) 882-6610

Fax

(920) 882-6611

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Appleton Counseling Management LLC

  • Mental Health Counselor
  • Appleton, WI
  • NPI 1255860912
  NPD (past)
• Appleton Psychiatric & Counseling Center

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1992858179
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1073718656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 S NICOLET RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148270",
            "telephone_number": "920-882-6610",
            "fax_number": "920-882-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 S NICOLET RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148270",
            "telephone_number": "920-882-6610",
            "fax_number": "920-882-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3086-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40998100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand View Family and Cosmetic Dentistry
• Carrie L Grant, LMT
• Elizabeth Rose Graser, BCBA
• Jessie M Grasse, NP
• Clarissa Mae Grathen, LPC-IT
• Great Lakes Orthotics & Prosthetics Inc.
• Amie Anna Lee Greely, PTA
• Green Meadows Senior Living LLC
• Bernard L Green, PH D
• Gearin A Green, M.D.

• Psychologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.