Active NPI
Kristen Gray, PHD
- Clinical Child & Adolescent Psychologist
- Colorado Springs, CO
National Provider Identifier
1104442961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY.0005878
- Practice address
- 4090 Briargate Pkwy
Colorado Springs, CO 80920-7815 - Phone
- (720) 848-0000
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0005878 | CO | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY.0005878 | CO | Primary |
Addresses
Primary practice location
4090 Briargate Pkwy
Colorado Springs, CO 80920-7815
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
2525 Arapahoe Ave Unit E4
Boulder, CO 80302-6746
Phone (303) 532-1763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.005878 | CO | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| Children'S Hospital Colorado | Current | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234
Dept 1061
Denver, CO 80256
Interoperability endpoints
- kgray256729@direct.childrenscolorado.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Maternal & Fetal Medicine Physician
- Littleton, CO
- NPI 1023476520
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1104442961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4090 BRIARGATE PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207815",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [
{
"address_1": "2525 Arapahoe Ave Unit E4",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803026746",
"country_code": "US",
"telephone_number": "303-532-1763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "KRISTEN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005878",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CO",
"license": "PSY.0005878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.