DR. JACQUELINE MARY GRAY (NPI# 1124066725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124066725 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE MARY GRAY |
| Credential | PH.D. |
| Practice Address |
5212 Katella Ave Suite #202 Los Alamitos CA 90720-2828 |
| Mailing Address |
Po Box 1173 Los Alamitos CA 90720-1173 |
| Practice Telephone | 5624930933 |
| Practice Fax Number | 5624930922 |
| Mailing Telephone | 5624930933 |
| Mailing Fax Number | 5624930922 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY11186 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PROVIDER | 542200PL111861 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457808545 | Jacqueline Gray | Nurse Practitioner | 5420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3373 | 2016-09-06 |
| 1780065946 | Jacqueline Noel Gray | Military Health Care Provider | 1972 State Route 73, Peebles, OH 45660-9587 | 2015-06-13 |
| 1265835847 | Jacqueline Gray | Nurse's Aide | 4154 Wilmington Rd, South Euclid, OH 44121-3137 | 2014-09-26 |
| 1669948543 | Jacqueline Rebecca Gray | Registered Nurse | 13030 121st Way Ne, Kirkland, WA 98034-3008 | 2018-10-18 |
| 1235510017 | Jacqueline Gray | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2015-06-17 |
| 1962897843 | Jacqueline A Gray | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2015-03-30 |
| 1881094522 | Jacqueline Gray | Case Manager/Care Coordinator | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-08-29 |
| 1508283797 | Jacqueline Gray | Behavioral Analyst | 3636 Las Vegas Blvd N, Suite B, Las Vegas, NV 89115-1555 | 2014-03-25 |
| 1770701393 | Jacqueline Gray | Marriage & Family Therapist | 2960 Camino Diablo, Suite 200, Walnut Creek, CA 94597-3988 | 2007-04-20 |
| 1346354297 | Jacqueline J Gray | Pediatrics | 331 N Breiel Blvd, Middletown, OH 45042 | 2006-08-18 |
| Street Address |
5212 KATELLA AVE SUITE #202 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952391989 | Southern California Neurodiagnostic Center, Inc | Clinic/Center | 5212 Katella Ave, Suite 106, Los Alamitos, CA 90720-2828 | 2005-10-21 |
| 1285276816 | Samantha Lara Karay | Counselor | 5212 Katella Ave, Los Alamitos, CA 90720-2828 | 2019-10-15 |
| 1063862084 | Meghan Williams | Marriage & Family Therapist | 5212 Katella Ave, Ste. 106, Los Alamitos, CA 90720-2828 | 2016-06-21 |
| 1578944559 | Roya Dedeaux | Marriage & Family Therapist | 5212 Katella Ave, Suite 101, Los Alamitos, CA 90720-2828 | 2015-06-15 |
| 1790077543 | Ponciano Wellness, LLC | Psychologist | 5212 Katella Ave, Suite 202, Los Alamitos, CA 90720-2828 | 2011-05-12 |
| 1568591055 | Hollis K. Hettig | Marriage & Family Therapist | 5212 Katella Ave, Suite 101, Los Alamitos, CA 90720-2828 | 2007-03-02 |
| 1689692832 | Philip R Oncley | Psychologist | 5212 Katella Ave, Suite 104, Los Alamitos, CA 90720-2828 | 2006-07-17 |
| 1326094442 | Roxana Lambdin | Psychologist | 5212 Katella Ave, Suite #202, Los Alamitos, CA 90720-2828 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443845 | Christine Colburn | Psychologist | 4132 Katella Ave Ste 203, Los Alamitos, CA 90720-6600 | 2020-06-29 |
| 1366605685 | Samantha Halley Case | Psychologist | 12041 Reagan St, Los Alamitos, CA 90720-4133 | 2008-07-07 |
| 1770551749 | Nicole Louise Taylor | Psychologist | 3181 Orlando Rd, Los Alamitos, CA 90720-4518 | 2006-03-08 |
| 1952478570 | Robert Orkin | Psychologist | 5122 Katella Ave, Suite 201, Los Alamitos, CA 90720-2826 | 2006-11-29 |
| 1689748485 | Vista Group | Psychologist | 4050 Katella Ave, Suite 102, Los Alamitos, CA 90720-3434 | 2006-11-20 |
| 1841390788 | Christie Lynn Morehead | Psychologist | 5242 Katella Ave, Suite 202, Los Alamitos, CA 90720-2820 | 2006-09-22 |
| 1689692832 | Philip R Oncley | Psychologist | 5212 Katella Ave, Suite 104, Los Alamitos, CA 90720-2828 | 2006-07-17 |
| 1710911763 | Marni Leigh Orsbern | Psychologist | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.