Individual provider Active NPI

Prudence Frances Cuper, PH.D.

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1033468608
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
102971 Issued in NC
Practice address
5007 Southpark Dr
Suite 250
Durham, NC 27713-7739
Phone
(919) 402-7987
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 102971 NC Primary

Addresses

Primary practice location

5007 Southpark Dr
Suite 250
Durham, NC 27713-7739

Mailing address

5007 Southpark Dr
Suite 250
Durham, NC 27713-7739
Phone (919) 402-7987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 29, 2012 through Aug 29, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102971NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1033468608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 SOUTHPARK DR",
            "address_2": "SUITE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137739",
            "telephone_number": "919-402-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 SOUTHPARK DR",
            "address_2": "SUITE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137739",
            "telephone_number": "919-402-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPER",
        "first_name": "PRUDENCE",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "102971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.