Active NPI
Sunshyne Melissa Gray, LCSW
- Clinical Social Worker
- Redlands, CA
National Provider Identifier
1437186160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21976
- Practice address
- 1706 Plum LN
Suite 118
Redlands, CA 92374-4576 - Phone
- (909) 647-5923
- Fax
- (909) 266-1372
- NPI assigned
- Jun 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21976 | CA | Primary |
Addresses
Primary practice location
1706 Plum LN
Suite 118
Redlands, CA 92374-4576
Mailing address
PO Box 1553
Highland, CA 92346-1553
Phone (909) 647-5923
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437186160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1553",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923461553",
"telephone_number": "909-647-5923",
"fax_number": "909-266-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 PLUM LN",
"address_2": "SUITE 118",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744576",
"telephone_number": "909-647-5923",
"fax_number": "909-266-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "SUNSHYNE",
"middle_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "21976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.