Active NPI
Jaclyn Starritt, PH.D.
- Psychologist
- Cary, NC
National Provider Identifier
1053615765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4292
- Practice address
- 300 Ashville Ave
Suite 240
Cary, NC 27518-8682 - Phone
- (919) 415-1793
- NPI assigned
- Jan 10, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4292 | NC | Primary |
Addresses
Primary practice location
300 Ashville Ave
Suite 240
Cary, NC 27518-8682
Mailing address
300 Ashville Ave
Suite 240
Cary, NC 27518-8682
Phone (919) 415-1793
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
- Opted out of Medicare
- Yes, effective Aug 18, 2015 through Aug 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4292 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1053615765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ASHVILLE AVE",
"address_2": "SUITE 240",
"city": "CARY",
"state": "NC",
"postal_code": "275188682",
"telephone_number": "919-415-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ASHVILLE AVE",
"address_2": "SUITE 240",
"city": "CARY",
"state": "NC",
"postal_code": "275188682",
"telephone_number": "919-415-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARRITT",
"first_name": "JACLYN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4292",
"primary": true
}
],
"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 May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.