Active NPI
Sybil Smith-Gray, PHD.
- Clinical Psychologist
- Lutherville, MD
National Provider Identifier
1477016699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03521
- Practice address
- 1447 York Rd Ste 506
Lutherville, MD 21093-6022 - Phone
- (410) 825-2282
- NPI assigned
- Apr 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 03521 | MD | Primary |
Addresses
Primary practice location
1447 York Rd Ste 506
Lutherville, MD 21093-6022
Mailing address
2503 Amber Orchard CT W Unit 302
Odenton, MD 21113-3634
Phone (301) 204-3284
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1477016699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 AMBER ORCHARD CT W UNIT 302",
"city": "ODENTON",
"state": "MD",
"postal_code": "211133634",
"telephone_number": "301-204-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 YORK RD STE 506",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936022",
"telephone_number": "410-825-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-GRAY",
"first_name": "SYBIL",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-14",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.