Marlene Gray, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4153 Issued in FL

Practice address

8890 W Oakland Park Blvd
Suite #103
Sunrise, FL 33351-7235

Phone

(954) 742-7032

Fax

(954) 742-7868

NPI assigned

Sep 26, 2005

Last updated

Oct 6, 2011By the provider in NPPES

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 FL

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmwood Center for Psychological Services, P.a.Group PAC ID 5092993527, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Palmwood Center for Psychological Services, P.a.

  • Clinical Psychologist
  • Sunrise, FL
  • NPI 1306055942
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1780670539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD",
            "address_2": "SUITE #103",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517235",
            "telephone_number": "954-742-7032",
            "fax_number": "954-742-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD",
            "address_2": "SUITE #103",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517235",
            "telephone_number": "954-742-7032",
            "fax_number": "954-742-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Rose Graff, M.S., SLP
• Alecia Graham, RN
• Casey Graham
• Joshua Maurice Gratton, CSFA, OA-C, ATC
• Aurilia Gray-Grimes, LMHC
• Michael Adam Grayson, CAA
• Suzanne Ellen Green, PHD
• Kenneth Greenberg, MD
• Andrew J. Greenfield, MD
• Howard M. Greenfield, MD

• Psychologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.