DR. MICHELLE DERESCHUK GRAY PH.D.
NPI 1942417696
Psychologist in Flagstaff, AZ
About Dr. Michelle Dereschuk Gray Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHELLE DERESCHUK GRAY PH.D. (NPI 1942417696) is an individual psychologist in Flagstaff, Arizona, licensed in Arizona (3096) and active in the NPI registry since May 2007. She has opted out of Medicare through October 1, 2027.
NPPES Registry Identity
Specialties & Licenses 2
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Other Names 1
Other Identifiers 1
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. Michelle Dereschuk 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 October 1, 2023 through October 1, 2027.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942417696, enumerated as an "individual" on May 16, 2007.
The provider is located at 1515 N SAN FRANCISCO ST FLAGSTAFF, AZ 86001 and the phone number is (928) 774-3400.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.