Active NPI
Michael Gray, PHD
- Psychologist
- Noblesville, IN
National Provider Identifier
1306910609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042609A
- Practice address
- 9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360 - Phone
- (317) 587-0533
- Fax
- (317) 674-0059
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20042609A | IN | Primary |
Addresses
Primary practice location
9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360
Mailing address
9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360
Phone (317) 587-0533
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042609A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1306910609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 E 148TH ST",
"address_2": "SUITE 1",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604360",
"telephone_number": "317-587-0533",
"fax_number": "317-674-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 E 148TH ST",
"address_2": "SUITE 1",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604360",
"telephone_number": "317-587-0533",
"fax_number": "317-674-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "MICHAEL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042609A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.