DOUGLAS D GRAY (NPI# 1154429223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154429223 |
| Entity Type | Individual |
| Full Name | DOUGLAS D GRAY |
| Credential | MD |
| Practice Address |
650 Komas Dr #208 Salt Lake City UT 84108-1215 |
| Mailing Address |
650 S. Komas Drive Suite 208 Salt Lake City UT 84108 |
| Practice Telephone | 8015851212 |
| Practice Fax Number | 8015859096 |
| Mailing Telephone | 8015851212 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
1747471205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649288796 | Douglas J. Gray | Dentist | 435 York Street, York Harbor, ME 03911-1108 | 2006-08-04 |
| 1285631317 | Douglas Theodore Gray | Social Worker | 211 Parsons Ave, Yakima, WA 98908-1734 | 2005-07-05 |
| 1003463035 | Douglas Gray | Case Manager/Care Coordinator | 7695 Poe Ave, Dayton, OH 45414-2552 | 2019-08-23 |
| 1114313491 | Douglas Scott Gray | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2015-04-13 |
| 1144244336 | Douglas L Gray | Ophthalmology | 602 W. University Avenue, Ophthalmology / Optometry, Urbana, IL 61801 | 2006-07-27 |
| 1942242946 | Douglas W Gray | Dentist | 230 Temple St, Mason, MI 48854-1837 | 2006-06-12 |
| 1851367825 | Douglas R Gray | Optometrist | Madigan Army Medical Ctr, 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2006-02-28 |
| 1891787651 | Douglas L Gray | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845-1730 | 2005-08-18 |
| Street Address |
650 KOMAS DR #208 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720969 | Kevin Duff | Clinical Neuropsychologist | 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 | 2005-09-19 |
| 1396000873 | Travis D Sorenson | Social Worker | 650 Komas Dr, Salt Lake City, UT 84108-1215 | 2012-07-10 |
| 1336410265 | Bethany H Lawrence | Social Worker | 650 Komas Dr, 200, Salt Lake City, UT 84108-1215 | 2012-01-24 |
| 1538451455 | University of Utah Adult Behavioral Health Services | Psychiatry & Neurology | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2011-05-11 |
| 1467614966 | Jonathan Cox | Psychologist | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2008-06-26 |
| 1437347481 | Emily Marie Grossell | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-10-03 |
| 1952528374 | Benjamin Russell Chan | Psychiatry & Neurology | 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 | 2007-04-19 |
| 1619003449 | Michael Byron Johnson | Nurse Practitioner | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2007-02-26 |
| 1073659090 | Dianne Farrell Hale | Counselor | 650 Komas Dr, Suite 217-a, Salt Lake City, UT 84108-1215 | 2007-01-29 |
| 1700933538 | Rachele Mary Mccarthey | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134643596 | Ladders | Psychiatry & Neurology | 1399 S 700 E Ste 10, Salt Lake City, UT 84105-2167 | 2017-07-27 |
| 1487779955 | Rachel Anne Weir | Psychiatry & Neurology | 650 Komas Dr Ste 208, Salt Lake City, UT 84108-1241 | 2007-03-20 |
| 1437297272 | Traci L. David | Psychiatry & Neurology | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2007-02-02 |
| 1942268446 | Melissa P Lopez-larson | Psychiatry & Neurology | 383 S Colorow Dr, University of Utah, Salt Lake City, UT 84108-1201 | 2006-05-03 |
| 1598736217 | Beth Ann Gasparo | Psychiatry & Neurology | 1850 S 2500 E, Salt Lake City, UT 84108-3242 | 2006-01-30 |
| 1366963381 | Spencer Augustin | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-06-29 |
| 1396277125 | Ryan Cephas | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-03-30 |
| 1316478290 | Jeffrey Pedersen | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-03-23 |
| 1205378320 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-11-07 |
| 1174073746 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-10-07 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on DOUGLAS D GRAY.
| 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.