Individual provider Active NPI

Lucinda Charnley Gray, PH.D.

  • Psychologist
  • Playa del Rey, CA
National Provider Identifier
1255596896
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY5969 Issued in CA
Practice address
7811 Berger Ave
Playa del Rey, CA 90293-7926
Phone
(310) 827-4241
Fax
(310) 827-1881
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY5969 CA Primary

Addresses

Primary practice location

7811 Berger Ave
Playa del Rey, CA 90293-7926

Mailing address

7811 Berger Ave
Playa del Rey, CA 90293-7926
Phone (310) 827-4241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191025002311 AZ Practitioner - Clinical Psychologist 6507198413 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3060 N Swan Rd
Tucson, AZ 85712-1225
Phone (310) 827-4241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY5969CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1255596896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 BERGER AVE",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937926",
            "telephone_number": "310-827-4241",
            "fax_number": "310-827-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 BERGER AVE",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937926",
            "telephone_number": "310-827-4241",
            "fax_number": "310-827-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LUCINDA",
        "middle_name": "CHARNLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY5969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

Verify at the official NPI Registry.