Healthcare Provider Details

I. General information

NPI: 1518003417
Provider Name (Legal Business Name): ADRIENNE Y MCCRAY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 CINCINNATI DAYTON RD STE 208
LIBERTY TOWNSHIP OH
45044-9318
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 513-712-5146
  • Fax:
Mailing address:
  • Phone: 513-712-5146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number34.005789
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number34005789
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: