Active NPI
Sandra M. Story, Psy.D., P.C.
- Psychologist
- Raleigh, NC
National Provider Identifier
1023075207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2659
- Legal business name
- SANDRA M. STORY, PSY.D., P.C.
- Practice address
- 8512 Six Forks Rd
Suite 102
Raleigh, NC 27615-2962 - Phone
- (919) 844-8711
- Fax
- (919) 844-8706
- NPI assigned
- Apr 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Sandra Story, PSY.D., P.C.
- Title
- Licensed Psychologist
- Phone
- (919) 844-8711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2659 | NC | Primary |
Addresses
Primary practice location
8512 Six Forks Rd
Suite 102
Raleigh, NC 27615-2962
Mailing address
8512 Six Forks Rd
Suite 102
Raleigh, NC 27615-2962
Phone (919) 844-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000365 | Medicaid | NC | |
| 045JA | Other | NC | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
8512 Six Forks Rd
Ste 102
Raleigh, NC 27615
Phone (919) 844-8711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Raleigh, NC
- NPI 1295791143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1023075207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8512 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152962",
"telephone_number": "919-844-8711",
"fax_number": "919-844-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8512 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152962",
"telephone_number": "919-844-8711",
"fax_number": "919-844-8706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA M. STORY, PSY.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-29",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "STORY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "SANDRA",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "919-844-8711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D., P.C."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "2659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000365",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "045JA",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.