Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Taylor W. Gray, PMHNP-BC, LICSW

Individual provider Clinical Social Worker · NPI 1770991218

Mr. Taylor W. Gray, PMHNP-BC, LICSW is a Nurse Practitioner in Chestnut Hill, Massachusetts. Qualified in 2019, 7 years ago. Practices with First Psychiatric Planners, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2014
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

300 S St
Chestnut Hill, MA 02467-3694
Phone: (617) 469-0300
Fax: (617) 676-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2326656 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 120185 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2326656 (MA)

Record details

NPI number1770991218
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC , LICSW
Sole proprietorYes
NPI enumeratedJuly 29, 2014
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice First Psychiatric Planners, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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