Carlie Barbour, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1715 Issued in NC

Practice address

70 Crape Myrtle Dr
Suite 104
Benson, NC 27504-8034

Phone

(919) 938-0875

Fax

(919) 934-0266

NPI assigned

Dec 9, 2010

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1073816294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY ST",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285727986",
            "telephone_number": "252-268-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CRAPE MYRTLE DR",
            "address_2": "SUITE 104",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275048034",
            "telephone_number": "919-938-0875",
            "fax_number": "919-934-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "CARLIE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Taylor Athy, OD
• Briana Brooke Austin, D.D.S.
• Alison Lea Baker, PHARM.D.
• Josh A. Balsly, PA-C
• Tara Baran, PHARMD
• Morgan Lee Barnes, DMD
• Nathan Edward Barnes, PHARMD
• Carrie Batchelor, RN, FNP-C
• Doretha Garriss Beasley
• Michelle Sutton Bellissimo, APRN FNP-BC FNP-C

• Psychologist in Benson, NC
• Providers in Benson, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.