Rebecca Gray, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

19-01P Issued in AR

Practice address

1635 Higdon Ferry Rd Ste C-111
Hot Springs, AR 71913-6913

Phone

(501) 881-3033

Fax

(817) 332-6489

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Parenting Center

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1396965042
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1790914950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HIGDON FERRY RD STE C-111",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136913",
            "telephone_number": "501-881-3033",
            "fax_number": "817-332-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGDON FERRY RD STE C-111",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136913",
            "telephone_number": "501-881-3033",
            "fax_number": "817-332-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63132",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "19-01P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslyn Claire Graves, PT
• Marla Jeannette Graves, OTR/L
• Carol Gray, LMSW
• Debra A. Gray
• Kim R Gray, P.T.
• Rylee Nicole Gray
• Shamekia Gray
• Susan Gray
• Kacy Lynn Grayer, MHPP
• Amy Leigh Green, OTRL

• Clinical Psychologist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.