Active NPI
Courtney Renae Wray
- Clinical Child & Adolescent Psychologist
- Columbus, OH
National Provider Identifier
1942715883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- P.08529
- Practice address
- 380 Butterfly Gardens Dr
Columbus, OH 43215-7508 - Phone
- (614) 355-0569
- Fax
- (614) 355-7101
- NPI assigned
- Dec 13, 2017
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | P.08529 | OH | Primary |
Addresses
Primary practice location
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Mailing address
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-2000
Other practice location 1
3020 N McCord Rd
Toledo, OH 43615-1702
Phone (419) 517-7658
Other practice location 2
3521 Briarfield Blvd
Maumee, OH 43537-9387
Phone (419) 794-7259
Other practice location 3
6855 Spring Valley Dr Ste 125
Holland, OH 43528-9374
Phone (419) 389-1444
Other practice location 4
4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537
Phone (419) 517-7658
Other practice location 5
2213 Franklin Ave
Toledo, OH 43620-1402
Phone (419) 251-2415
Other practice location 6
500 The Blvd Ste 504
Maumee, OH 43537-7573
Phone (419) 389-1444
Other practice location 7
500 W Tiffin St
Tiffin, OH 44883
Phone (419) 455-8150
Other practice location 8
2222 Cherry St Ste 2300
Toledo, OH 43608-2675
Phone (419) 251-8013
Other practice location 9
1818 Chapel Dr
Findlay, OH 45840-1335
Phone (419) 424-1922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0319804 | Medicaid | OH |
Other names 1
- Courtney Renae Young
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.08529 | OH | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1942715883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 BUTTERFLY GARDENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157508",
"telephone_number": "614-355-0569",
"fax_number": "614-355-7101"
}
],
"practiceLocations": [
{
"address_1": "3020 N McCord Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436151702",
"country_code": "US",
"telephone_number": "419-517-7658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3521 Briarfield Blvd",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435379387",
"country_code": "US",
"telephone_number": "419-794-7259",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6855 Spring Valley Dr Ste 125",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "OH",
"postal_code": "435289374",
"country_code": "US",
"telephone_number": "419-389-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4126 N Holland Sylvania Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436233537",
"country_code": "US",
"telephone_number": "419-517-7658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Franklin Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436201402",
"country_code": "US",
"telephone_number": "419-251-2415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 The Blvd Ste 504",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435377573",
"country_code": "US",
"telephone_number": "419-389-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Tiffin St",
"address_purpose": "LOCATION",
"city": "Tiffin",
"state": "OH",
"postal_code": "44883",
"country_code": "US",
"telephone_number": "419-455-8150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 Cherry St Ste 2300",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082675",
"country_code": "US",
"telephone_number": "419-251-8013",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 Chapel Dr",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458401335",
"country_code": "US",
"telephone_number": "419-424-1922",
"fax_number": "419-424-1927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRAY",
"first_name": "COURTNEY",
"middle_name": "RENAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "P.08529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0319804",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "YOUNG",
"middle_name": "RENAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.