Active NPI
Dee Gray, LCSW
- Clinical Psychologist
- Prescott, AZ
National Provider Identifier
1720165343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LCSW0396
- Practice address
- 143 N McCormick St
Suite 103
Prescott, AZ 86301-2723 - Phone
- (928) 778-4745
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LCSW0396 | AZ | Primary |
Addresses
Primary practice location
143 N McCormick St
Suite 103
Prescott, AZ 86301-2723
Mailing address
143 N McCormick St
Suite 103
Prescott, AZ 86301-2723
Phone (928) 778-4745
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW0396 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720165343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 N MCCORMICK ST",
"address_2": "SUITE 103",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012723",
"telephone_number": "928-778-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 N MCCORMICK ST",
"address_2": "SUITE 103",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012723",
"telephone_number": "928-778-4745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "DEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "LCSW0396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.