Individual provider Active NPI

Carrie Ann Gray, PSY.D.

  • Clinical Psychologist
  • Manchester, NH
National Provider Identifier
1487847786
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1208 Issued in NH
Practice address
148 Coolidge Ave
Manchester, NH 03102-3493
Phone
(603) 883-0005
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1595 KY
Counselor 101Y00000X
Clinical Psychologist 103TC0700X 1208 NH Primary

Addresses

Primary practice location

148 Coolidge Ave
Manchester, NH 03102-3493

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

45 Main St
Peterborough, NH 03458-2433
Phone (603) 883-0005

Other practice location 2

15 Trafalgar Sq Ste 202
Nashua, NH 03063-1968
Phone (603) 883-0005

Other practice location 3

16 Fifth St
Dover, NH 03820-2930
Phone (603) 883-0005

Other practice location 4

24 Front St Ste 100
Exeter, NH 03833-2727
Phone (603) 883-0005

Other practice location 5

15 Trafalgar Sq Ste 202
Nashua, NH 03063-1968
Phone (603) 883-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101112000344 NH Practitioner - Clinical Psychologist 1254526577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

148 Coolidge Ave
Manchester, NH 03102-3493
Phone (603) 883-0005

24 Front St
Exeter, NH 03833-2727
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1208NHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Clinical CurrentSince Sep 21, 2010 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16 Fifth St
Dover, NH 03820
Phone (603) 617-4799

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

24 Front St
Ste 100
Exeter, NH 03833
Phone (603) 713-5657

15 Trafalgar Sq
Ste 202
Nashua, NH 03063
Phone (603) 689-7947

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

45 Main St
Peterborough, NH 03458
Phone (603) 614-5324

Interoperability endpoints

  • Direct secure messaging: ccn.carrieanngray@140126.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1487847786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 COOLIDGE AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023493",
            "telephone_number": "603-883-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Main St",
            "address_purpose": "LOCATION",
            "city": "Peterborough",
            "state": "NH",
            "postal_code": "034582433",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Trafalgar Sq Ste 202",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030631968",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Fifth St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202930",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Front St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038332727",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Trafalgar Sq Ste 202",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030631968",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1595",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.