MEDICARE: DR. ADRIENNE Y MCCRAY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	34.005789	OH
2	2084P0804X	Child & Adolescent Psychiatry Physician	34005789	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518003417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIENNE Y MCCRAY D.O.

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:	513-712-5146
Fax Number	:

Provider Business Practice Location Address
First Line	:	6770 CINCINNATI DAYTON RD STE 208
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-9318
Country	:	US
Telephone Number	:	513-712-5146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	11/03/2025

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