Organization Active NPI

Strong Start Psychological Services, PLLC

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1043916323
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STRONG START PSYCHOLOGICAL SERVICES, PLLC
Practice address
2310 S Miami Blvd Ste 135
Durham, NC 27703-5799
Phone
(919) 608-4483
Fax
(919) 294-6534
NPI assigned
Feb 7, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Andrea L Kulish-Avery, PH.D.NPI 1962951335
Title
Licensed Psychologist
Phone
(919) 608-4483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2310 S Miami Blvd Ste 135
Durham, NC 27703-5799

Mailing address

2310 S Miami Blvd Ste 135
Durham, NC 27703-5799
Phone (919) 608-4483

National Provider Directory

National Provider Directory

Locations

2310 S Miami Blvd
Ste 135
Durham, NC 27703
Phone (919) 280-0179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1043916323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 135",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035799",
            "telephone_number": "919-608-4483",
            "fax_number": "919-294-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 135",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035799",
            "telephone_number": "919-608-4483",
            "fax_number": "919-294-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG START PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KULISH-AVERY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-608-4483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 28, 2023; 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.