Active NPI
Jane Simpson Gray, PH.D.
- Clinical Child & Adolescent Psychologist
- Austin, TX
National Provider Identifier
1346475753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 34163
- Practice address
- 1600 W 38TH St
Suite 212
Austin, TX 78731-6400 - Phone
- (512) 324-3315
- Fax
- (512) 324-3314
- NPI assigned
- May 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 34163 | TX | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 34163 | TX | Primary |
Addresses
Primary practice location
1600 W 38TH St
Suite 212
Austin, TX 78731-6400
Mailing address
1600 W 38TH St
Suite 212
Austin, TX 78731-6400
Phone (512) 324-3315
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88075A | Other | TX | BCBS |
| 217415301 | Medicaid | TX |
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 |
|---|---|---|---|
| 34163 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1346475753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W 38TH ST",
"address_2": "SUITE 212",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316400",
"telephone_number": "512-324-3315",
"fax_number": "512-324-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 38TH ST",
"address_2": "SUITE 212",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316400",
"telephone_number": "512-324-3315",
"fax_number": "512-324-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JANE",
"middle_name": "SIMPSON",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TX",
"license": "34163",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "34163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88075A",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217415301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.