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DR. BERNARD GEORGE GRAY PH.D. NPI 1912033648


NPI Information

NPI: 1912033648
Provider Name: DR. BERNARD GEORGE GRAY, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14 PARK LN
JAMAICA PLAIN, MA
ZIP 02130
Phone: (800) 923-0460
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DR. Bernard George Gray, PH.D. is a psychologist in Jamaica Plain, MA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Bernard George Gray, PH.D. NPI is 1912033648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 PARK LN
JAMAICA PLAIN, MA
ZIP 02130-906
Phone: (800) 923-0460
Fax: (617) 524-1045

The NPI 1912033648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/26/2007 and was last updated on 2/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)1315MASSACHUSETTSNo
2103TA0700XPsychologistAdult Development & Aging1315MASSACHUSETTSNo
3103TC0700XPsychologistClinical1315MASSACHUSETTSNo
4103TF0000XPsychologistFamily1315MASSACHUSETTSNo
5103TP2701XPsychologistGroup Psychotherapy1315MASSACHUSETTSNo
6103T00000XPsychologist1315MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WO1138MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
2WO1138OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.