Provider Demographics
NPI:1043924525
Name:GRAY MATTERS, GREENWICH
Entity Type:Organization
Organization Name:GRAY MATTERS, GREENWICH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:PILLAI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-325-3896
Mailing Address - Street 1:1455 E PUTNAM AVE
Mailing Address - Street 2:
Mailing Address - City:OLD GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06870-1360
Mailing Address - Country:US
Mailing Address - Phone:203-956-3060
Mailing Address - Fax:
Practice Address - Street 1:1455 E PUTNAM AVE
Practice Address - Street 2:
Practice Address - City:OLD GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06870-1360
Practice Address - Country:US
Practice Address - Phone:203-956-3060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty