KENDRA GRAY PHD PLC
NPI 1730554767
Psychologist - Clinical in Henderson, KY

Q: What is Kendra Gray Phd Plc's NPI number?

The NPI number for Kendra Gray Phd Plc is 1730554767. It was assigned to this organization in the NPPES registry on December 2, 2015.

Q: What is Kendra Gray Phd Plc's specialty?

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

Active since December 02, 2015

109 N MAIN ST, HENDERSON, KY 42420(812) 491-1307(270) 495-4284 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2020, Jan 20, 2017, Feb 3, 2016 and 1 more (4 updates tracked since 2015).

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About Kendra Gray Phd Plc NPPES

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

KENDRA GRAY PHD PLC (NPI 1730554767) is a healthcare organization registered as a clinical in Henderson, Kentucky and active in the NPI registry since December 2015. The organization lists Kendra M Gray, Member, as its authorized official.

NPPES Registry Identity

NPI1730554767

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKENDRA GRAY PHD PLC

Location Address109 N MAIN STHenderson, KY 42420-3101

Mailing AddressPo Box 3276Evansville, IN 47731-3276 · (812) 473-0181 · Fax (812) 473-5822

Phone(812) 491-1307

Fax(270) 495-4284

Organization SubpartNo

Authorized OfficialKendra M GrayMember · (270) 984-8140

Enumeration DateDecember 2, 2015

Last NPPES UpdateNovember 9, 20204 updates tracked since enumeration

NPPES CertifiedNovember 9, 2020

✔ NPI 1730554767 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 KY · 1752

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.

109 N MAIN ST, Henderson, KY 42420

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kendra Gray Phd Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kendra Gray, PH.D.

Clinical Psychologist

NPI 1861578171

109 N MAIN ST
Henderson, KY 42420

(812) 491-1307

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kendra Gray Phd Plc's NPI number?

The NPI number for Kendra Gray Phd Plc is 1730554767. It was assigned to this organization in the NPPES registry on December 2, 2015.

Where is Kendra Gray Phd Plc located?

Kendra Gray Phd Plc is located at 109 N Main St, Henderson, KY 42420. The listed phone number is (812) 491-1307.

What is Kendra Gray Phd Plc's specialty?

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

Is Kendra Gray Phd Plc enrolled in Medicare?

Yes. Kendra Gray Phd Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kendra Gray Phd Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kendra Gray Phd Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kendra Gray Phd Plc was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.