Mr. Taylor W Gray, PMHNP-BC, LICSW
Nurse Practitioner, Psych/Mental Health in Chestnut Hill, Massachusetts
1770991218- Practice location
- 300 South Street, Chestnut Hill, MA 02467-3694
- Phone
- 617-469-0300
- Fax
- 617-676-3460
- Last updated
- February 10, 2020
Taylor W. Gray is a Nurse Practitioner, Psych/Mental Health based in Chestnut Hill, MA. Taylor W. Gray practices in Chestnut Hill, MA and has the professional credentials of PMHNP-BC, LICSW. The NPI Number for Taylor W. Gray is 1770991218 and holds a License No. 120185 (MA). The current practice location address for Taylor W. Gray is 300 South Street, Chestnut Hill, MA 02467-3694 and can be reached out via phone at 617-469-0300 and via fax at 617-676-3460.
Provider Profile Details
- NPI Number
- 1770991218
- Provider Name
- Taylor W. Gray
- Credential
- PMHNP-BC, LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 South Street, Chestnut Hill, MA 02467-3694
- Phone Number
- 617-469-0300
- Fax Number
- 617-676-3460
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 29, 2014
- Last Update Date
- February 10, 2020
- Certification Date
- February 10, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 South Street
Chestnut Hill, MA 02467-3694 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467-3694
- Phone Number
- 617-469-0300
- Fax Number
- 617-676-3460
Provider Business Mailing Address Details
- Address
- 300 South Street
Chestnut Hill, MA 02467-3694 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-3694
- Phone Number
- 617-469-0300
- Fax Number
- 617-676-3460
License Information
- License Number (1)
- 120185
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- RN2326656
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- RN2326656
- License State (3)
- MA
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Taylor W Gray, PMHNP-BC, LICSW?
The NPI number of Mr. Taylor W Gray, PMHNP-BC, LICSW is 1770991218. It was assigned on July 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Taylor W Gray, PMHNP-BC, LICSW?
Mr. Taylor W Gray, PMHNP-BC, LICSW is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 120185.
Where does Mr. Taylor W Gray, PMHNP-BC, LICSW practice?
The practice location is 300 South Street, Chestnut Hill, MA 02467-3694. The office can be reached at 617-469-0300 (phone) or 617-676-3460 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770991218 directly on the NPPES registry website.