Active NPI
Waite Psychological & Therapeutic Services
- Psychologist
- Durham, NC
National Provider Identifier
1093378382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Selena Waite
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Psychologist | 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 DirectoryLocations
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.