Individual provider Active NPI

Kathleen Kirmil-Gray, PH.D.

  • Cognitive & Behavioral Psychologist
  • Los Gatos, CA
National Provider Identifier
1225213903
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSY 7490 Issued in CA
Practice address
430 Monterey Ave Ste 4
Los Gatos, CA 95030-5323
Phone
(408) 354-4323
Fax
(408) 358-8650
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY 7490 CA Primary

Addresses

Primary practice location

430 Monterey Ave Ste 4
Los Gatos, CA 95030-5323

Mailing address

430 Monterey Ave Ste 4
Los Gatos, CA 95030-5323
Phone (408) 354-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 7490CAMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1225213903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MONTEREY AVE STE 4",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305323",
            "telephone_number": "408-354-4323",
            "fax_number": "408-358-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MONTEREY AVE STE 4",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305323",
            "telephone_number": "408-354-4323",
            "fax_number": "408-358-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRMIL-GRAY",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 7490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.