Individual provider Active NPI

Charles F Gray, PH.D.

  • Clinical Psychologist
  • Sugar Land, TX
National Provider Identifier
1518953173
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23341 Issued in TX
Practice address
6011 Kelsey Place CT
Sugar Land, TX 77479-5071
Phone
(713) 774-2122
NPI assigned
Sep 20, 2005
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23341 TX
Clinical Psychologist 103TC0700X 23341 TX Primary
Counseling Psychologist 103TC1900X 23341 TX
Family Psychologist 103TF0000X 23341 TX

Addresses

Primary practice location

6011 Kelsey Place CT
Sugar Land, TX 77479-5071

Mailing address

6011 Kelsey Place CT
Sugar Land, TX 77479-5071
Phone (713) 774-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260318001115 TX Practitioner - Clinical Psychologist 6709841885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6011 Kelsey Place CT
Sugar Land, TX 77479-5071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23341TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles F. Gray, PH.D., P.C. Clinical CurrentSince Nov 4, 2004 Accepting new patients

Locations

8303 Southwest Fwy
Ste 330
Houston, TX 77074
Phone (713) 774-2122

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1518953173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 KELSEY PLACE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795071",
            "telephone_number": "713-774-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 KELSEY PLACE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795071",
            "telephone_number": "713-774-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23341",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23341",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "23341",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "23341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.