Individual provider Active NPI

Patti M Zordich, PHD

  • Psychologist
  • Cary, NC
National Provider Identifier
1023150562
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3366 Issued in NC
Practice address
1125 Kildaire Farm Rd
Suite 202
Cary, NC 27511-4566
Phone
(919) 380-1000
Fax
(919) 380-1000
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3366 NC Primary
Adult Development & Aging Psychologist 103TA0700X 3366 NC
Cognitive & Behavioral Psychologist 103TB0200X 3366 NC
Clinical Psychologist 103TC0700X 3366 NC
Counseling Psychologist 103TC1900X 3366 NC
Clinical Child & Adolescent Psychologist 103TC2200X 3366 NC
Family Psychologist 103TF0000X 3366 NC
Forensic Psychologist 103TF0200X 3366 NC
Intellectual & Developmental Disabilities Psychologist 103TM1800X 3366 NC
Group Psychotherapy Psychologist 103TP2701X 3366 NC
School Psychologist 103TS0200X 3366 NC

Addresses

Primary practice location

1125 Kildaire Farm Rd
Suite 202
Cary, NC 27511-4566

Mailing address

1125 Kildaire Farm Rd
Suite 202
Cary, NC 27511-4566
Phone (919) 380-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3366NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Psychological Services Psychologist Past Accepting new patients

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1023150562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 KILDAIRE FARM RD",
            "address_2": "SUITE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114566",
            "telephone_number": "919-380-1000",
            "fax_number": "919-380-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 KILDAIRE FARM RD",
            "address_2": "SUITE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114566",
            "telephone_number": "919-380-1000",
            "fax_number": "919-380-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORDICH",
        "first_name": "PATTI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3366",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NC",
            "license": "3366",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "3366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.