Jill Maven Gray, PSYD, LP
Clinical Psychologist · St Louis Park, MN
Jill Maven Gray, PSYD, LP is a clinical psychologist with a practice address in St Louis Park, Minnesota, and NPI 1124124045, issued on Sep 16, 2006. Check the license (Minnesota LP3557, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jill Maven Gray
- Credential
- PSYD, LP
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- LP3557 MN
Self-reported in NPPES; status is on the state search - Practice location
- 4201 Excelsior Blvd, St Louis Park, MN 55416
- Phone
- (952) 933-8900
- Enumerated
- Sep 16, 2006
- Record last updated
- Apr 25, 2022
- Fax
- (952) 945-9536
- Medicaid ID
- 920215300 MN
- Medicare enrollment
- Enrolled (PECOS I20050526000515); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 4201 Excelsior Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jill Maven Gray in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license LP3557Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Family Innovations IncSaint Paul, MN
- Mental Health Specialty Group PAMinneapolis, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
62 clinical psychologist records list a practice address in St Louis Park
They are 62 of the 3,089 NPPES records with a practice address in St Louis Park, and 1,538 clinical psychologist records in Minnesota.
All 62 in St Louis Park → All 1,538 in Minnesota → Every provider in St Louis Park →
Other clinical psychologist records in Minnesota
- Kenneth Abrams, PH.D., LPNorthfield, MN1487211264
- Elinor Adams, LPSaint Paul, MN1770629651
- Sarah Addicks, PHDSaint Paul, MN1548747918
- Sarah Ahlfs-Dunn, PH.DMinnetonka, MN1902112071
- Kerry Aikman, PH.D.Golden Valley, MN1780982223
- Rachael Ajetomobi, PHD, LPMinneapolis, MN1891533055
- Leah Albersheim, PH.DMinneapolis, MN1760526719
- Samuel Albert, PH.D.Roseville, MN1962538264
- Eva Alden, PHDRochester, MN1710595426
- Kasey Aleknavicius, PSY.D., L.P.Eden Prairie, MN1205203965
Common questions
What is Jill Maven Gray, PSYD, LP's NPI number?
Jill Maven Gray, PSYD, LP's National Provider Identifier (NPI) is 1124124045, issued on Sep 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jill Maven Gray, PSYD, LP located?
The NPPES record lists a practice address at 4201 Excelsior Blvd, St Louis Park, MN, 55416. Phone: (952) 933-8900. Providers update this record themselves, so call before visiting.
How can I verify Jill Maven Gray, PSYD, LP's license?
NPPES lists Minnesota license number LP3557, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.