Active NPI
Andrea Gray, PSY.S
- School Psychologist
- Delanson, NY
National Provider Identifier
1114211539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 353562091
- Practice address
- 2841 Thousand Acres Rd
Delanson, NY 12053-1917 - Phone
- (518) 875-6724
- NPI assigned
- Jun 2, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 353562091 | NY | Primary |
Addresses
Primary practice location
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Mailing address
65 Benedict St
Castleton, NY 12033-1119
Phone (518) 728-3625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353562091 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1114211539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BENEDICT ST",
"city": "CASTLETON",
"state": "NY",
"postal_code": "120331119",
"telephone_number": "518-728-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "PSY.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "353562091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delanson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.