Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lori M Bray, PHDLLP

Individual provider Psychologist · NPI 1386710317

Lori M Bray, PHDLLP is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2005, 21 years ago. Practices with North Kent Guidance Services LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

5250 Northland Dr Ste A
Grand Rapids, MI 49525-1040
Phone: (616) 361-5001
Fax: (616) 361-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301013416 (MI)

Record details

NPI number1386710317
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLLP
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESOctober 1, 2007
Mailing address5250 Northland Drive, Suite A, Grand Rapids, MI 49525-1040

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice North Kent Guidance Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Grand Rapids