Individual provider Active NPI

Carolynn Marie Gray, PSY.D.

  • Clinical Psychologist
  • Hayward, CA
National Provider Identifier
1972766848
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26218 Issued in CA
Practice address
28831 Bay Heights Rd
Hayward, CA 94542-2165
Phone
(510) 224-3624
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY26218 CA
Family Psychologist 103TF0000X PSY26218 CA
Clinical Psychologist 103TC0700X PSY26218 CA Primary

Addresses

Primary practice location

28831 Bay Heights Rd
Hayward, CA 94542-2165

Mailing address

28831 Bay Heights Rd
Hayward, CA 94542-2165
Phone (510) 224-3624

Other practice location 1

24301 Southland Dr Ste 300
Hayward, CA 94545-1546
Phone (510) 300-3500

Other names 1

  • Ms. Carolynn Marie Langsdale Former name

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

LicenseStateTypeSpecialty
PSY26218CAMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1972766848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28831 BAY HEIGHTS RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422165",
            "telephone_number": "510-224-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28831 BAY HEIGHTS RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422165",
            "telephone_number": "510-224-3624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24301 Southland Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945451546",
            "country_code": "US",
            "telephone_number": "510-300-3500",
            "fax_number": "877-992-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CAROLYNN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26218",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY26218",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYNN",
            "last_name": "LANGSDALE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.