Active NPI
William Alan Wray, EDD
- Clinical Psychologist
- Chattanooga, TN
National Provider Identifier
1396809984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P703
- Practice address
- 325 Market Street
Suite 305
Chattanooga, TN 37402-1247 - Phone
- (423) 267-2134
- Fax
- (423) 267-2146
- NPI assigned
- Dec 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P703 | TN | Primary |
Addresses
Primary practice location
325 Market Street
Suite 305
Chattanooga, TN 37402-1247
Mailing address
325 Market Street
Suite 305
Chattanooga, TN 37402-1247
Phone (423) 267-2134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025077 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090331000274 | TN | Practitioner - Clinical Psychologist | 9537226840 | Practice locations: Chattanooga, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
515 Tremont St
Chattanooga, TN 37405-4152
Phone (423) 267-2134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P703 | TN | MD | Clinical Psychologist |
| 703 | TN | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396809984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MARKET STREET",
"address_2": "SUITE 305",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374021247",
"telephone_number": "423-267-2134",
"fax_number": "423-267-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MARKET STREET",
"address_2": "SUITE 305",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374021247",
"telephone_number": "423-267-2134",
"fax_number": "423-267-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "WILLIAM",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0025077",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- 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.