James Russell Gray-Couch, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007761 Issued in VA

Practice address

348 Enterprise Dr Ste B
Valdosta, GA 31601-5169

Phone

(229) 293-0132

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Roman Catholic Diocese of Albany Ny

  dba Consultation Center

  • Clinical Psychologist
  • Albany, NY
  • NPI 1457421919
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1619171618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 ENTERPRISE DR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015169",
            "telephone_number": "229-293-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 ENTERPRISE DR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015169",
            "telephone_number": "229-293-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-COUCH",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68-019393",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anika Grant
• Anna Vaggalis Grant, FNP-C
• Chiquita Grant
• Timothy T Grantham, DMD
• Marguerite Gravlee, BA, IBCLC
• Anna Louise Gray
• Hardy Lamar Gray, DMD
• Ralph Lewis Grayson, CPO
• Demetria Covet Green Newton
• Jacqueline B. Green, LPC

• Clinical Psychologist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.