Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTEN GRAY PHD
NPI 1104442961
Psychologist - Clinical Child & Adolescent in Colorado Springs, CO

Q: What is Kristen Gray's NPI number?

The NPI number for Kristen Gray is 1104442961. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Q: What is Kristen Gray's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Gray was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since June 17, 2020PECOS Enrolled

4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920(720) 848-0000 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Sep 7, 2022, Sep 17, 2021 and 1 more (4 updates tracked since 2020).

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About Kristen Gray Phd NPPES

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

KRISTEN GRAY PHD (NPI 1104442961) is an individual clinical child & adolescent provider in Colorado Springs, Colorado, licensed in Colorado (PSY.0005878) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boulder.

NPPES Registry Identity

NPI1104442961

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameKRISTEN GRAYCredential: PHD

Location Address4090 BRIARGATE PKWYColorado Springs, CO 80920-7815

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-0000

Sole ProprietorNo

Enumeration DateJune 17, 2020

Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1104442961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CO · PSY.0005878

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY.0005878 (CO)

4090 BRIARGATE PKWY, Colorado Springs, CO 80920

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Secondary Practice Location 1

Location 12525 Arapahoe Ave Unit E4Boulder, CO 80302-6746 · Phone (303) 532-1763

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Gray Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER D CHINN MD

Anesthesiology (Pediatric Anesthesiology)