Shannon Cray, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005127 Issued in VA

Practice address

6161 Kempsville Cir
Suite 315
Norfolk, VA 23502-3932

Phone

(757) 461-5400

NPI assigned

Dec 4, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Specialty

Clinical Psychologist

Education

Eastern Virginia Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1699172700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 LASKIN RD",
            "address_2": "STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516387",
            "telephone_number": "757-648-8605",
            "fax_number": "757-648-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "SUITE 315",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-461-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAY",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate N Crandley, MD
• Cranial Technologies, Inc.
• Ashley N Crase
• Lindsey Crawford
• John Brian Crawmer
• Elizabeth Poremba Creasy
• Creating New Smiles ASC, LLC
• Creating New Smiles, Inc
• Creative Family Services, LLC (Creative Family Services)
• Samantha Maness Credle, DO

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.