Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jill Maven Gray, PSYD, LP

Individual provider Clinical Psychologist · NPI 1124124045

Dr. Jill Maven Gray, PSYD, LP is a Clinical Psychologist in St Louis Park, Minnesota. Qualified in 1996, 30 years ago. Practices with Family Innovations Inc, a 93-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
30
Licensed in
MN
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4201 Excelsior Blvd
St Louis Park, MN 55416-4728
Phone: (952) 933-8900
Fax: (952) 945-9536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 63 Aspen Pt, Landfall Village, MN 55128-7111 — (651) 341-2014

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP3557 (MN)

Record details

NPI number1124124045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Family Innovations Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in St Louis Park