Individual provider Active NPI

Elizabeth M Raines, PHD

  • Clinical Child & Adolescent Psychologist
  • Chapel Hill, NC
National Provider Identifier
1003556010
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6651 Issued in NC
Practice address
205 Sage Rd Ste 201
Chapel Hill, NC 27514-6995
Phone
(919) 942-4166
Fax
(919) 942-8693
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Clinical Child & Adolescent Psychologist 103TC2200X 6651 NC Primary

Addresses

Primary practice location

205 Sage Rd Ste 201
Chapel Hill, NC 27514-6995

Mailing address

205 Sage Rd Ste 201
Chapel Hill, NC 27514-6995
Phone (919) 942-4166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 7, 2024 through Oct 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6651NCMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Speech Pathology Single Specialty CurrentSince Feb 23, 2025 Accepting new patients
Chapel Hill Pediatric Psychology, PA PastSince Feb 23, 2025 Accepting new patients

Locations

205 Sage Rd
Ste 201
Chapel Hill, NC 27514
Phone (919) 335-3386

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1003556010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SAGE RD STE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146995",
            "telephone_number": "919-942-4166",
            "fax_number": "919-942-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAGE RD STE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146995",
            "telephone_number": "919-942-4166",
            "fax_number": "919-942-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "6651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.