Lauren Grey Outlaw

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

091564-1 Issued in NY

Practice address

1865 Amsterdam Ave
New York, NY 10031-1716

Phone

(212) 234-2653

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 2020By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1538756606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 177TH ST",
            "city": "ADDISLEIGH PARK",
            "state": "NY",
            "postal_code": "114334114",
            "telephone_number": "516-455-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311716",
            "telephone_number": "212-234-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY OUTLAW",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "091564-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabhjot Kaur Grewal, MD
• Priya Grewal, MD
• Rajveer Kaur Grewal
• Ravinder K Grewal, MD
• Grey Matter Neuropsychology of New York, PLLC
• Vixen Leighton-Andrew Grey-Brooks, MD
• Carolyn C. Grey, PH.D.
• Chauncey Grey
• Danielle Grey, FNP-C
• Ivolyn Doreen Grey, ANP

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.