Active NPI
Daphne Connelly McKee, PH.D
- Clinical Psychologist
- Durham, NC
National Provider Identifier
1043272511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 585
- Practice address
- 2200 W Main St
Durham, NC 27705-4640 - Phone
- (919) 416-3417
- NPI assigned
- Apr 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 585 | NC | Primary |
Addresses
Primary practice location
2200 W Main St
Durham, NC 27705-4640
Mailing address
2200 W Main St
Durham, NC 27705-4640
Phone (919) 416-3417
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000572 | Medicaid | NC | |
| 04070 | Other | NC | BLUE CROSS BLUE SHIELD NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1043272511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W MAIN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054640",
"telephone_number": "919-416-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W MAIN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054640",
"telephone_number": "919-416-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEE",
"first_name": "DAPHNE",
"middle_name": "CONNELLY",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000572",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "04070",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.