Individual provider Active NPI

Sarah Nyssa Gray, PSY.D.

  • Clinical Psychologist
  • Arlington, MA
National Provider Identifier
1164774469
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9597 Issued in MA
Practice address
366 Massachusetts Ave Ste 303
Arlington, MA 02474
Phone
(339) 707-5236
NPI assigned
Oct 10, 2012
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9597 MA Primary
Health Psychologist 103TH0004X 9597 MA

Addresses

Primary practice location

366 Massachusetts Ave Ste 303
Arlington, MA 02474

Mailing address

5 Water St Ste 5B
Arlington, MA 02476-4807
Phone (339) 707-5236

Other practice location 1

21 Union St # 3
East Greenwich, RI 02818-3638
Phone (207) 838-7242

Other practice location 2

366 Massachusetts Ave Ste 303
Arlington, MA 02474
Phone (339) 707-5236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130306000063 MA Practitioner - Clinical Psychologist 9234384843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

50 Staniford St
Boston, MA 02114-2517

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 10, 2013 Accepting new patients
Integrative Psychology, PC Clinical CurrentSince Sep 27, 2020 Accepting new patients
The Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 10, 2013 Accepting new patients

Locations

366 Massachusetts Ave
Ste 303
Arlington, MA 02474
Phone (617) 997-9922

5 Water St
Ste 5B
Arlington, MA 02476
Phone (339) 707-5236

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: gray.sarah.mgh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1164774469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WATER ST STE 5B",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764807",
            "telephone_number": "339-707-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MASSACHUSETTS AVE STE 303",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02474",
            "telephone_number": "339-707-5236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Union St # 3",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028183638",
            "country_code": "US",
            "telephone_number": "207-838-7242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "366 Massachusetts Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MA",
            "postal_code": "02474",
            "country_code": "US",
            "telephone_number": "339-707-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SARAH",
        "middle_name": "NYSSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9597",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MA",
            "license": "9597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.