Dr Jacqueline Mary Gray, PHD - Psychologist in Los Alamitos, CA

Dr Jacqueline Mary Gray, PHD is a Psychologist based in Los Alamitos, California. Dr Jacqueline Mary Gray is licensed to practice in California (license number PSY11186) and her current practice location is 5212 Katella Ave, Suite #202, Los Alamitos, California. She can be reached at her office (for appointments etc.) via phone at (562) 493-0933.

NPI number for Dr Jacqueline Mary Gray is 1124066725 and her current mailing address is Po Box 1173, Los Alamitos, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124066725.

Contact Information

Dr Jacqueline Mary Gray, PHD
5212 Katella Ave, Suite #202,
Los Alamitos, CA 90720-2828
(562) 493-0933
(562) 493-0922

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacqueline Mary Gray
GenderFemale
SpecialityPsychologist
Location5212 Katella Ave, Los Alamitos, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124066725
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 03/14/2018

Medical Identifiers

Medical identifiers for Dr Jacqueline Mary Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124066725NPI-NPPES
542200PL111861OtherCABLUE SHIELD PROVIDER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY11186 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Mary Gray is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacqueline Mary Gray, PHD
Po Box 1173,
Los Alamitos, CA 90720-1173

Ph: (562) 493-0933
Dr Jacqueline Mary Gray, PHD
5212 Katella Ave, Suite #202,
Los Alamitos, CA 90720-2828

Ph: (562) 493-0933

Reviews and Comments


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