=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114888310
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GRAY'S PSYCHOLOGICAL SERVICES, PLLC/DBA: BRIGHTER BEGINNINGS PSYCHOLOGICAL SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2025
-----------------------------------------------------
Last Update Date | 11/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1635 UNION CENTER MAINE HWY STE 205
-----------------------------------------------------
City | ENDICOTT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13760-1340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-305-4204
-----------------------------------------------------
Fax | 607-243-6799
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1635 UNION CENTER MAINE HWY STE 205
-----------------------------------------------------
City | ENDICOTT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13760-1340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax | 607-243-6799
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ASHLEY GRAY
-----------------------------------------------------
Credential | PSY D
-----------------------------------------------------
Telephone | 607-305-4204
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------