Active NPI
Patti M Zordich, PHD
- Psychologist
- Cary, NC
National Provider Identifier
1023150562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3366 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychologist
- Cary, NC
- NPI 1528239183
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.