Kelle Chandler Ray, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1811 Issued in GA

Practice address

1805 Herrington Rd
Building 2
Lawrenceville, GA 30043-5649

Phone

(770) 962-1944

Fax

(770) 962-1886

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386727048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HERRINGTON RD",
            "address_2": "BUILDING 2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435649",
            "telephone_number": "770-962-1944",
            "fax_number": "770-962-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HERRINGTON RD",
            "address_2": "BUILDING 2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435649",
            "telephone_number": "770-962-1944",
            "fax_number": "770-962-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KELLE",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00615557A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Egleton Rashed, DNP, APRN, PMHNP-BC
• Andrea Leahna Ratowsky, OTR/L
• Rozee Rattani
• Kyla Ravenell
• Sherri Hayes Rawsthorn, L.C.S.W.
• Kruti Ray
• Mary Jo Ray
• Ramona Ray, M.A., MHP
• Raymond C. Lyew D.D.S., P.C.
• Raymond L. Stovall, M.D., P.C.

• Clinical Psychologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.