Gayle L Gregory, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

30440 Issued in AZ

Practice address

15801 E Don Carlos Dr
Prescott Valley, AZ 86315-4109

Phone

(602) 335-2000

Fax

(602) 476-2077

NPI assigned

Oct 26, 2005

Last updated

Jun 23, 2014By 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 3

Addresses

Other identifiers 1

Other names 1

• Gayle L Rowell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mingus Mountain Estate Residential Center Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Prescott Valley, AZ
  • NPI 1356358519
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1851381388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 E DON CARLOS DR",
            "address_2": "PO BOX 26485",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863154109",
            "telephone_number": "602-335-2000",
            "fax_number": "602-476-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 E DON CARLOS DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863154109",
            "telephone_number": "602-335-2000",
            "fax_number": "602-476-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "GAYLE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "30440",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "30440",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ID",
            "license": "M-11900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707705",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "ROWELL",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanya Renae Green, MT
• Gary Howard Greene, O.D.
• Virginia I Greene, FNP
• Carla L Greenwood, LPC
• Christopher Gregory, PHARMD
• Gursimran Singh Grewal, D.D.S.
• Yvette Dawn Grijalva, FNP-C
• Leeann Rene Groveunder, FNP-C
• Madelynn Grubbs
• Anita Marilyn Gunnufson, RNP

• Child & Adolescent Psychiatry Physician in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.