Individual provider Active NPI

Leigh Chancey, PHD

  • Health Psychologist
  • Raleigh, NC
National Provider Identifier
1063729614
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
103344 Issued in NC
Practice address
23 Sunnybrook Rd Ste 200
Raleigh, NC 27610-1855
Phone
(704) 905-8712
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 103344 NC
School Psychologist 103TS0200X 103344 NC
Health Psychologist 103TH0004X 103344 NC Primary

Addresses

Primary practice location

23 Sunnybrook Rd Ste 200
Raleigh, NC 27610-1855

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490

Other practice location 1

227 N Market St
Washington, NC 27889-4949
Phone (704) 905-8712

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lchancey266372@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218001549 NC Practitioner - Clinical Psychologist 9234563677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5637NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 28, 2019 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 28, 2019 Accepting new patients
Wake Specialty Physicians, LLC PastSince Sep 1, 2019 Accepting new patients

Locations

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

104 Medspring Dr
Clayton, NC 27520
Phone (919) 235-6422

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

2920 Highwoods Blvd
Raleigh, NC 27604

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 322-4800

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

23 Sunnybrook Rd
Ste 200
Raleigh, NC 27610
Phone (919) 235-6435

Interoperability endpoints

  • Direct secure messaging: lchancey266372@directhisp.wakemed.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1063729614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040010",
            "telephone_number": "877-498-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SUNNYBROOK RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101855",
            "telephone_number": "704-905-8712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 N Market St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278894949",
            "country_code": "US",
            "telephone_number": "704-905-8712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANCEY",
        "first_name": "LEIGH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "103344",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "103344",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NC",
            "license": "103344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lchancey266372@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "23 Sunnybrook Rd Ste 200",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.