Michael Patrick Gray, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS015427 Issued in PA

Practice address

6122 Ridge Ave
Philadelphia, PA 19128-1603

Phone

(215) 487-1330

Fax

(215) 487-1641

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891865382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SPRUCE ST",
            "address_2": "# 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076170",
            "telephone_number": "215-432-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281603",
            "telephone_number": "215-487-1330",
            "fax_number": "215-487-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS015427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judah Gray, MD
• Kimberly Gray, MBA, MSS, MLSP, LCSW
• Lauren Michelle Gray, LSW
• Lauryn Gray
• Madeline Alyssa Gray, LCSW
• Patrick Gray, MD
• Paula A Gray, CRNP
• Rayna Ivory Gray
• Richard J Gray, MD
• Shannon Gray, LSW

• Counseling Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.