KILYNDA VERNETTE RAY PH.D.
NPI 1982958260
Psychologist in Fayetteville, NC

Active since November 07, 2012PECOS Enrolled
2300 RAMSEY STREET, BLDG. 50, RM 206, VETERAN'S HEALTH ADMINISTRATION, FAYETTEVILLE, NC 28301(702) 768-2593 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kilynda Vernette Ray Ph.d. NPPES

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

KILYNDA VERNETTE RAY PH.D. (NPI 1982958260) is an individual psychologist in Fayetteville, North Carolina, licensed in California (25246) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in North Las Vegas.

NPPES Registry Identity

NPI1982958260
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKILYNDA VERNETTE RAYCredential: PH.D.
Location Address2300 RAMSEY STREET, BLDG. 50, RM 206, VETERAN'S HEALTH ADMINISTRATIONFayetteville, NC 28301-6170
Mailing Address8550 W Desert Inn Rd Ste 102-343Las Vegas, NV 89117-4401 · (972) 921-5490
Sole ProprietorYes
Enumeration DateNovember 7, 2012
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1982958260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in CA · 25246✔ Licensed in NY · 019871✔ Licensed in NC · 4589
Definition
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.
2300 RAMSEY STREET, BLDG. 50, RM 206, Fayetteville, NC 28301

Secondary Practice Location 1

Location 16900 N Pecos RdNorth Las Vegas, NV 89086-4400 · Phone (702) 285-4383

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kilynda Vernette Ray Ph.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kilynda Ray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

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 Kilynda Ray's NPI number?

The NPI number for Kilynda Ray is 1982958260. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Kilynda Ray located?

Kilynda Ray practices at 2300 Ramsey Street, Bldg. 50, Rm 206 Veteran's Health Administration, Fayetteville, NC 28301. The listed phone number is (702) 768-2593.

What is Kilynda Ray's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kilynda Ray enrolled in Medicare?

Yes. Kilynda Ray is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kilynda Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kilynda Ray reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). Each 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 Kilynda Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kilynda Ray accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health and UnitedHealthcare list Kilynda Ray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kilynda Ray was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.