Stefanie Anne Gray, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37112 Issued in TX

Practice address

132 Princess Pass
San Antonio, TX 78212-5337

Phone

(210) 570-2454

Fax

(210) 966-8959

NPI assigned

Sep 20, 2017

Last updated

Jul 21, 2022By 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

Enrolled in TX

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stefanie a. Gray, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1013489277
  Medicare reassignment NPD Authorized official
• I Am Mind & Body Wellness Center, PLLC

  • Psychologist
  • San Antonio, TX
  • NPI 1841790722
  NPD (past)
• Sage Psychiatric Care, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1982414280
  NPD (past)

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730698903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PRINCESS PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125337",
            "telephone_number": "210-570-2454",
            "fax_number": "210-966-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PRINCESS PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125337",
            "telephone_number": "210-570-2454",
            "fax_number": "210-966-8959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Northeast Interstate 410 Loop",
            "address_2": "Suite 508",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78209",
            "country_code": "US",
            "telephone_number": "210-253-9763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "STEFANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary Gray, SLP
• Michelle Gray, MSN, APRN, FNP-C
• Minda Gray
• Patrick Leon Gray, PA-C, MPAS
• Selena Paige Gray, D.C.
• Taylor Gray, BCBA
• John Richard Graybill, MD
• Robert Graydon, PA-C
• Grayson Square Health Care Center
• Johnwanetta Meshae Grayson-Rodgers, M.A., CCC-SLP

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• 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.
• 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.