LAURIE BETH GRAY (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1053575605

LAURIE BETH GRAY (M.D.) is a healthcare provider. based in Cambridge, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MT192985 (PA). The NPI Number for LAURIE BETH GRAY (M.D.) is 1053575605

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE BETH GRAY (M.D.)
NPI
1053575605
Phone
(617) 575-5789
Address
1493 CAMBRIDGE ST
Enumeration Date
14 July 2008
Last Update Date
13 July 2012

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
9782634878217
Graduation Year
2008 (18 years ago)
PAC ID
2769714815
Group Practice PAC ID
3870487333
Professional Enrollment ID
I20191023000986
Address ID
MA017203415AC518XXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,743 PSYCHIATRY in MA

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Provider Addresses for LAURIE BETH GRAY (M.D.)

  • Cambridge Hospital, 1493, Cambridge Street, Inman Square, Cambridge, Middlesex County, Massachusetts, 02139, United States

    CAMBRIDGE, MA 021391047

    Phone: (617) 575-5789

    Fax: (617) 665-1973

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191023000986IPsychiatryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02139)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870487333View full group profile
NameSpecialtyState
-MA
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical PsychologistMA
P S Y C H I A T R YMA
Mental Health CounselorMA
Mental Health CounselorMA
P S Y C H I A T R YMA
-MA
Certified Clinical Nurse Specialist (Cns)MA

Reviews

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Frequently asked questions

What federal number belongs to LAURIE BETH GRAY (M.D.)?
The federal identifier for LAURIE BETH GRAY (M.D.) is NPI 1053575605.
Is LAURIE BETH GRAY (M.D.) active in the national directory?
LAURIE BETH GRAY (M.D.)'s public NPI profile is in an active state.
Can you summarize LAURIE BETH GRAY (M.D.)'s specialty in plain language?
Clinically, the directory lists LAURIE BETH GRAY (M.D.) with Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for LAURIE BETH GRAY (M.D.)?
The page summarizes Cambridge, Massachusetts for LAURIE BETH GRAY (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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