Active NPI
Gray Matter Neuropsyhcological Consultants, LLC Dba the Mind Studio
- Clinical Neuropsychologist
- Niceville, FL
National Provider Identifier
1760119978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- GRAY MATTER NEUROPSYHCOLOGICAL CONSULTANTS, LLC DBA THE MIND STUDIO
- Doing business as
- The Mind Studio
- Practice address
- 1403 Cat Mar Rd
Niceville, FL 32578-9742 - Phone
- (850) 696-6640
- Fax
- (850) 696-6640
- NPI assigned
- Aug 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ashley Luella Downey
- Title
- Practice Manager
- Phone
- (850) 696-6640
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1403 Cat Mar Rd
Niceville, FL 32578-9742
Mailing address
1403 Cat Mar Rd
Niceville, FL 32578-9742
Phone (850) 816-0408
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14779277176 | Other | NPI | |
| 1811436371 | Other | NPI | |
| 1750451019 | Other | NPI |
Other names 1
- The Mind Studio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1403 Cat Mar Rd
Niceville, FL 32578
Phone (850) 696-6640
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Niceville, FL
- NPI 1477927176
-
- Clinical Social Worker
- Niceville, FL
- NPI 1750451019
-
- Mental Health Counselor
- Fort Walton Beach, FL
- NPI 1790367878
-
- Mental Health Counselor
- Laurel Hill, FL
- NPI 1811436371
-
- Mental Health Counselor
- Niceville, FL
- NPI 1144948183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1760119978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 CAT MAR RD",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325789742",
"telephone_number": "850-816-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 CAT MAR RD",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325789742",
"telephone_number": "850-696-6640",
"fax_number": "850-696-6640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAY MATTER NEUROPSYHCOLOGICAL CONSULTANTS, LLC DBA THE MIND STUDIO",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-07",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "DOWNEY",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "LUELLA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "850-696-6640",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "14779277176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1811436371",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1750451019",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Mind Studio",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Mind Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.