LAURIE BETH GRAY M.D. NPI 1053575605

NPI Information

  • NPI: 1053575605
  • Provider Name: LAURIE BETH GRAY, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1493 CAMBRIDGE ST
    CAMBRIDGE, MA
    ZIP 02139
  • Phone: (617) 575-5789

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NPI Details

Laurie Beth Gray, M.D. is a child and adolescent psychiatry psychiatry neurology in Cambridge, MA with 17 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Laurie Beth Gray, M.D. NPI is 1053575605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2008

The provider's business location address is:

1493 CAMBRIDGE ST
CAMBRIDGE, MA
ZIP 02139-047
Phone: (617) 575-5789
Fax: (617) 665-1973

The NPI 1053575605 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2008 and was last updated on 7/13/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryMT192985PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramMT192985PENNSYLVANIANo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry252080MASSACHUSETTSYes

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: 3/30/2025

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