Individual provider Active NPI

Lindsay Lauren Wray, PSY.D.

  • Clinical Psychologist
  • Henderson, NV
National Provider Identifier
1427424464
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30954 Issued in CA
Practice address
880 Seven Hills Dr Ste 200
Henderson, NV 89052-4373
Phone
(702) 209-2199
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 2012775 CA
Clinical Psychologist 103TC0700X 30954 CA Primary

Addresses

Primary practice location

880 Seven Hills Dr Ste 200
Henderson, NV 89052-4373

Mailing address

6430 Jackson Spring Rd
Las Vegas, NV 89118-1457
Phone (323) 391-4228

Other practice location 1

3200 Motor Ave
Los Angeles, CA 90034-3710
Phone (818) 523-9886

Other practice location 2

5005 Canyon Crest Dr
Riverside, CA 92507-7721
Phone (747) 224-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240501002027 NV Practitioner - Clinical Psychologist 6800236308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30954CAMDClinical Psychologist
2012775CAMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay L Wray PSYD Comprehensive Psychological Services PLLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

880 Seven Hills Dr
Ste 200
Henderson, NV 89052
Phone (702) 209-2199

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1427424464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 JACKSON SPRING RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181457",
            "telephone_number": "323-391-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524373",
            "telephone_number": "702-209-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Motor Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900343710",
            "country_code": "US",
            "telephone_number": "818-523-9886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5005 Canyon Crest Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925077721",
            "country_code": "US",
            "telephone_number": "747-224-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRAY",
        "first_name": "LINDSAY",
        "middle_name": "LAUREN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": "2012775",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.