Organization Active NPI

Waite Psychological & Therapeutic Services

  • Psychologist
  • Durham, NC
National Provider Identifier
1093378382
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WAITE PSYCHOLOGICAL & THERAPEUTIC SERVICES
Practice address
2310 S Miami Blvd Ste 142
Durham, NC 27703-4900
Phone
(984) 212-7373
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Selena WaiteNPI 1730632506
Title
Owner/Psychologist/Counselor
Phone
(984) 212-7373

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2310 S Miami Blvd Ste 142
Durham, NC 27703-4900

Mailing address

2309 Nebo St
Durham, NC 27707-4231
Phone (984) 212-7373

Other practice location 1

2309 Nebo St
Durham, NC 27707-4231
Phone (984) 212-7373

National Provider Directory

National Provider Directory

Locations

2310 S Miami Blvd
Ste 142
Durham, NC 27703
Phone (919) 884-1108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1093378382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 NEBO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074231",
            "telephone_number": "984-212-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 142",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034900",
            "telephone_number": "984-212-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 Nebo St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277074231",
            "country_code": "US",
            "telephone_number": "984-212-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAITE PSYCHOLOGICAL & THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST/COUNSELOR",
        "authorized_official_telephone_number": "984-212-7373"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "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 Dec 27, 2024; 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.