Active NPI
Christine E Bray, PHD, LP
- Psychologist
- Minneapolis, MN
National Provider Identifier
1871046912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2325
- Practice address
- 1100 Washington Ave S
Suite 102
Minneapolis, MN 55415-1273 - Phone
- (612) 314-0349
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2325 | MN | Primary |
Addresses
Primary practice location
1100 Washington Ave S
Suite 102
Minneapolis, MN 55415-1273
Mailing address
1100 Washington Ave S
Suite 102
Minneapolis, MN 55415-1273
Phone (612) 314-0349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2325 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1871046912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WASHINGTON AVE S",
"address_2": "SUITE 102",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151273",
"telephone_number": "612-314-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WASHINGTON AVE S",
"address_2": "SUITE 102",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151273",
"telephone_number": "612-314-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "CHRISTINE",
"middle_name": "E",
"credential": "PHD, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "2325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.