MR. TAYLOR W. GRAY (NPI# 1770991218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770991218 |
| Entity Type | Individual |
| Full Name | MR. TAYLOR W. GRAY |
| Credential | PMHNP-BC, LICSW |
| Practice Address |
300 South Street Chestnut Hill MA 02467-3694 |
| Practice Telephone | 6174690300 |
| Practice Fax Number | 6176763460 |
| Mailing Telephone | 6174690300 |
| Mailing Fax Number | 6176763460 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
120185 | MA | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | RN2326656 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2326656 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 675 Main St, Waltham, MA 024510602 | 7818932003 | 7816470183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639715493 | Taylor M Gray | Physical Therapist | 7840 Fm 1960 Rd E Ste 408, Humble, TX 77346-2258 | 2019-11-26 |
| 1831592351 | Taylor Gray | Naturopath | 2692 W Alamo Ave, Littleton, CO 80120-1921 | 2014-09-29 |
| 1366054652 | Taylor Sabree Gray | Behavior Technician | 5163 Roswell Rd, Atlanta, GA 30342-2206 | 2020-08-19 |
| 1043839103 | Taylor Marie Gray | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2020-04-09 |
| 1225523954 | Taylor L Gray | Behavior Technician | 1840 W Houghton Lake Dr Unit 2, Prudenville, MI 48651-9672 | 2018-06-25 |
| 1447750989 | Taylor Gray | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2018-02-20 |
| 1134508781 | Taylor Noelle Gray | Specialist/Technologist | 2660 W Market St, Suite 300, Fairlawn, OH 44333-4208 | 2015-05-28 |
| Street Address |
300 SOUTH STREET |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082962 | Lillianna Griggs | Nurse Practitioner | 140 Commonwealth Ave, Chestnut Hill, MA 02467-3800 | 2020-08-03 |
| 1891944963 | Ruthann R Looper | Nurse Practitioner | 122 Ward St, Chestnut Hill, MA 02467-1029 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.