Oak City Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OAK CITY PSYCHOLOGY, PLLC

Practice address

8410 Six Forks Rd Ste 102
Raleigh, NC 27615-3079

Phone

(919) 234-7247

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberley L Benton, PSY.D.

Title

Owner

Phone

(919) 234-7247

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberley Layne Benton Pruitt, PSY.D.

  • Psychologist
  • Raleigh, NC
  • NPI 1053644070

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1114682549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153079",
            "telephone_number": "919-234-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153079",
            "telephone_number": "919-234-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CITY PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-234-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael O'Shea, M.D., M.B.A.
• Oak and Lily Physical Therapy and Wellness Company
• Oak City Chiropractic, PLLC (Oak City Chiropractic)
• Oak City Counseling
• Oak City Physical Therapy LLC
• Oak City Speech and Language Therapy, PLLC
• Oak City Therapy
• Oak City Transportation Service LLC
• Oak City Vision Center OD PLLC
• Oak City Wellness (Lynne Houck Hefetz)

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.