Michelle Dereschuk Gray, PH.D.
NPI 1942417696ActiveIndividual· Psychologist· Flagstaff, AZ
Opted out of Medicare from October 2023 to October 2027. Psychologist (PH.D.) in Flagstaff, Arizona, licensed in AZ, with an NPI issued in May 2007.
Overview
| NPI | 1942417696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | May 16, 2007 |
| Last updated in NPPES | Feb 13, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3096 | AZ |
| Marriage & Family Therapist | 106H00000X | LMFT0324 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 1, 2023 – Oct 1, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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