Amy Angelene Gray

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

5246 Issued in KY

Practice address

425 Broadway St
Suite 201
Paducah, KY 42001-0713

Phone

(270) 442-7121

NPI assigned

Sep 25, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Western Ky Regional MHMR Board Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paducah, KY
  • NPI 1841216934

  Mental Health (Including Community Mental Health Center)

  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1457548281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADWAY",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROADWAY ST",
            "address_2": "SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010713",
            "telephone_number": "270-442-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMY",
        "middle_name": "ANGELENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": "5246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa S Grace
• Karen A Graham, CPWAF
• Salena M Graham
• Max Grantham
• Jessica Graves, MD
• Melissa Gray
• Richard Gray, MS, CCC-SLP
• Tameka L Gray
• Green Valley Emergency Physicians, LLC
• Green Valley Hospital Medicine Physicians, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Paducah, KY
• Providers in Paducah, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.