Jean Gaillard Spaulding, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

18382 Issued in NC

Practice address

2400 Pratt St Ste 1500
Box 3644 First Floor
Durham, NC 27705-3976

Phone

(919) 668-3326

Fax

(909) 668-3323

NPI assigned

Mar 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Jean G Spaulding MD

  • Child & Adolescent Psychiatry Physician
  • Durham, NC
  • NPI 1134225410
  NPD (past) Authorized official

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1033484555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RUSSO VALLEY DR",
            "address_2": "CAMERON POND",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198111",
            "telephone_number": "919-668-3326",
            "fax_number": "919-668-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PRATT ST STE 1500",
            "address_2": "BOX 3644 FIRST FLOOR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053976",
            "telephone_number": "919-668-3326",
            "fax_number": "909-668-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "JEAN",
        "middle_name": "GAILLARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "18382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Spalding, P.A.
• Shea Spampneto, LCSW
• Marybeth Spanarkel, MD
• Matthew A Sparks, MD
• Marilyn Sparling
• Joi Camille Spaulding, MD
• Stephanie Howard Spaulding, FNP-BC
• Speak 1St Carolina
• Speak Now LLC
• Sharon B. Spear, PA

• Child & Adolescent Psychiatry Physician in Durham, NC
• Providers in Durham, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.