Gray Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2013040380 Issued in MO

Legal business name

GRAY PSYCHOLOGICAL SERVICES LLC

Practice address

402 B W. Mt. Vernon Street
Ste 337
Nixa, MO 65714

Phone

(816) 813-6934

NPI assigned

Oct 21, 2015

Last updated

Feb 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryce T. Gray, PSYD

Title

President

Phone

(816) 813-6934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1831561554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 B W. MT. VERNON STREET",
            "address_2": "STE 337",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "65714",
            "telephone_number": "816-813-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 B W. MT. VERNON STREET",
            "address_2": "STE 337",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "65714",
            "telephone_number": "816-813-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-813-6934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2013040380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gifted Healing PC
• Kelsi L Goans
• Jeanna Golden
• Jacob Aaron Grady
• Robert Jason Grant, EDD LPC
• Alise Elizabeth Gray, PSY.D,
• Bryce Taylor Gray
• Marissa Anne Green
• Daniel Greene, PHARMD
• William Hunter Greenwood, DC, ND

• Clinical Psychologist in Nixa, MO
• Providers in Nixa, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.