DR. SAMUEL BEMISS GRAY PSY.D
NPI 1467407908
Psychologist - Clinical in Winston Salem, NC

Active since May 23, 2006
100 S MARSHALL ST STE 1, WINSTON SALEM, NC 27101(336) 276-1278(336) 276-1516 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2022, Feb 1, 2019 (2 updates tracked since 2019).

About Dr. Samuel Bemiss Gray Psy.d NPPES

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

DR. SAMUEL BEMISS GRAY PSY.D (NPI 1467407908) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (3079) and active in the NPI registry since May 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467407908
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMUEL BEMISS GRAYCredential: PSY.D
Location Address100 S MARSHALL ST STE 1Winston Salem, NC 27101-2843
Mailing Address100 S Marshall St Ste 1Winston Salem, NC 27101-2843 · (336) 276-1278 · Fax (336) 276-1516
Fax(336) 276-1516
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 4, 20222 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
NPI 1467407908 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 NC · 3079
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.
100 S MARSHALL ST STE 1, Winston Salem, NC 27101

Secondary Practice Locations 2

Location 12910 Briarcliffe Rd Ste AWinston Salem, NC 27106-3177 · Phone (336) 276-1278 ext. 200 · Fax (336) 276-1516
Location 2840 W 4th StWinston-Salem, NC 27101-2502 · Phone (336) 773-0900 ext. 21 · Fax (336) 773-0097

Other Identifiers 1

Other046WENC · Blue Cross/blue Shield Id

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
100 S MARSHALL ST STE 1
WINSTON SALEM, NC 27101
Psychologist (Forensic)
100 S MARSHALL ST STE 1
WINSTON SALEM, NC 27101
Counselor (Professional)
100 S MARSHALL ST STE 1
WINSTON SALEM, NC 27101
Counselor (Professional)
100 S MARSHALL ST STE 1
WINSTON SALEM, NC 27101
Psychologist (Clinical)
100 S MARSHALL ST STE 1
WINSTON SALEM, NC 27101
Psychologist (Clinical)
100 S MARSHALL ST STE 1
WINSTON SALEM, NC 27101
Social Worker (Clinical)
100 S MARSHALL ST STE 1
WINSTON SALEM, NC 27101
Counselor (Mental Health)
100 S MARSHALL ST STE 1, VISION BEHAVIORAL HEALTH SERVICES
WINSTON SALEM, NC 27101

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 Samuel Gray's NPI number?

The NPI number for Samuel Gray is 1467407908. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Samuel Gray located?

Samuel Gray practices at 100 S Marshall St Ste 1, Winston Salem, NC 27101. The listed phone number is (336) 276-1278.

What is Samuel Gray's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Gray was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.