DURHAM PEDIATRIC PSYCHOLOGY P.A. NPI 1487865986

NPI Information

NPI: 1487865986
Provider Name: DURHAM PEDIATRIC PSYCHOLOGY, P.A.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2609 N DUKE ST
SUITE 1000
DURHAM, NC
ZIP 27704
Phone: (919) 220-8817
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DURHAM PEDIATRIC PSYCHOLOGY, P.A. is a mental health (including community mental health center) clinic center in Durham, NC. DURHAM PEDIATRIC PSYCHOLOGY, P.A. NPI is 1487865986. The provider is registered as an organization entity type.

The provider's business location address is:

2609 N DUKE ST
SUITE 1000
DURHAM, NC
ZIP 27704-048
Phone: (919) 220-8817

The provider's authorized official is Mary Evers-szostak .
The authorized official title is President and has the following contact phone number (919) 220-8817.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0188	NORTH CAROLINA	Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	0188	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0128A	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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