Active NPI
Jennifer Westfall, M.A., L.P.A
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1114174224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3594
- Practice address
- 319 Chapanoke Rd
Suite 101
Raleigh, NC 27603-3433 - Phone
- (919) 662-4600
- NPI assigned
- Aug 20, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3594 | NC | Primary |
Addresses
Primary practice location
319 Chapanoke Rd
Suite 101
Raleigh, NC 27603-3433
Mailing address
2074 Mail Service Ctr
Raleigh, NC 27699-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3594 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1114174224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 MAIL SERVICE CTR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276992000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 CHAPANOKE RD",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033433",
"telephone_number": "919-662-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTFALL",
"first_name": "JENNIFER",
"credential": "M.A., L.P.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.