Active NPI
Amy Leandra Ray, PH.D.
- Clinical Psychologist
- Joliet, IL
National Provider Identifier
1225368228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071005955
- Practice address
- 350 Houbolt Rd Ste 202
Joliet, IL 60431-8305 - Phone
- (815) 553-0788
- Fax
- (815) 553-0789
- NPI assigned
- Jan 13, 2010
- Last updated
- May 31, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071005955 | IL | Primary |
Addresses
Primary practice location
350 Houbolt Rd Ste 202
Joliet, IL 60431-8305
Mailing address
350 Houbolt Rd
Suite 202
Joliet, IL 60431-8305
Phone (815) 553-0788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
350 Houbolt Rd
Suite 202
Joliet, IL 60431-8305
Phone (815) 553-0788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Ray, PH.D., P.C. | Current | Accepting new patients |
Locations
350 Houbolt Rd
Ste 202
Joliet, IL 60431
Phone (815) 553-0788
Organizations & group practices 1
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.
-
- Psychologist
- Joliet, IL
- NPI 1043504657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1225368228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HOUBOLT RD",
"address_2": "SUITE 202",
"city": "JOLIET",
"state": "IL",
"postal_code": "604318305",
"telephone_number": "815-553-0788",
"fax_number": "815-553-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOUBOLT RD STE 202",
"city": "JOLIET",
"state": "IL",
"postal_code": "604318305",
"telephone_number": "815-553-0788",
"fax_number": "815-553-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "AMY",
"middle_name": "LEANDRA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071005955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.