DR. MARJORY ROBERTS GRAY PH.D.
NPI 1093725210
Psychologist - Clinical in South Hadley, MA

Active since August 09, 2006Opted out of Medicare · through May 31, 2028
27 COLLEGE ST, SOUTH HADLEY, MA 01075(413) 536-2662(413) 536-2662 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marjory Roberts Gray Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARJORY ROBERTS GRAY PH.D. (NPI 1093725210) is an individual clinical provider in South Hadley, Massachusetts, licensed in Rhode Island (PS01590) and active in the NPI registry since August 2006. She has opted out of Medicare through May 31, 2028.

NPPES Registry Identity

NPI1093725210
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARJORY ROBERTS GRAYCredential: PH.D.
Location Address27 COLLEGE STSouth Hadley, MA 01075-6461
Mailing Address16 Stanton RdPortsmouth, RI 02871-3519 · (413) 626-4966 · Fax (413) 293-0693
Fax(413) 536-2662
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateFebruary 9, 2017
NPI 1093725210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in RI · PS01590
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
27 COLLEGE ST, South Hadley, MA 01075

Other Identifiers 1

Medicare ID-Type UnspecifiedW51339MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Marjory Roberts Gray Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 31, 2024 through May 31, 2028.

Opt-Out Effective DateMay 31, 2024
Opt-Out In Effect ThroughMay 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
27 COLLEGE ST
SOUTH HADLEY, MA 01075
Social Worker (Clinical)
27 COLLEGE ST
SOUTH HADLEY, MA 01075
Clinical Nurse Specialist (Psychiatric/Mental Health)
27 COLLEGE ST
SO HADLEY, MA 01075
Social Worker (Clinical)
27 COLLEGE ST
SOUTH HADLEY, MA 01075
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
27 COLLEGE ST
SOUTH HADLEY, MA 01075
Nurse Practitioner
27 COLLEGE ST
SOUTH HADLEY, MA 01075
Psychologist (Clinical)
27 COLLEGE ST
SOUTH HADLEY, MA 01075
Social Worker (Clinical)
27 COLLEGE ST
SOUTH HADLEY, MA 01075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marjory Gray's NPI number?

The NPI number for Marjory Gray is 1093725210. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Marjory Gray located?

Marjory Gray practices at 27 College St, South Hadley, MA 01075. The listed phone number is (413) 536-2662.

What is Marjory Gray's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Marjory Gray enrolled in Medicare?

No. Marjory Gray has opted out of Medicare through May 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marjory Gray was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.