Active NPI
Matthew William Legray
- Psychologist
- Chapin, SC
National Provider Identifier
1588153068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1497
- Practice address
- 536 Slices Way
Chapin, SC 29036-6139 - Phone
- (803) 727-3160
- NPI assigned
- May 9, 2018
- Last updated
- May 9, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1497 | SC | Primary |
Addresses
Primary practice location
536 Slices Way
Chapin, SC 29036-6139
Mailing address
536 Slices Way
Chapin, SC 29036-6139
Phone (803) 727-3160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WP8918 | Medicaid | SC |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1588153068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 SLICES WAY",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290366139",
"telephone_number": "803-727-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 SLICES WAY",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290366139",
"telephone_number": "803-727-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRAY",
"first_name": "MATTHEW",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "1497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WP8918",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapin, SC
- Jordan Langhough, RD
- Lauren Lavigne, PHARMD
- Lesley Lawrimore, PT
- Deanna Leath
- Craig Maynor Leech, LMHC, LPC
- Lehmann Chiropractic, LLC
- Christopher George Lehmann, DC
- Lexington County Health Serv (Chapin Nuclear Medicine)
- Lexington County Health Services District, Inc. (Chapin Family Practice)
- Lexington County Health Services District, Inc. (Lexington Medical Center Chapin)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.