Individual provider Active NPI

David G Kravetz, PSY.D.

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1114979069
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1056 Issued in NC
Practice address
4 Susanna Dr Unit K203
Durham, NC 27705-6747
Phone
(919) 599-0536
Fax
(919) 443-1198
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1056 NC Primary

Addresses

Primary practice location

4 Susanna Dr Unit K203
Durham, NC 27705-6747

Mailing address

4 Susanna Dr Unit K203
Durham, NC 27705-6747
Phone (919) 599-0536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080331000269 NC Practitioner - Clinical Psychologist 6800972829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Wright State University Boonshoft School of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Durham, NC 27705
Phone (919) 599-0536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1056NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helpful Conversations P.a. Clinical CurrentSince Jan 1, 2008 Accepting new patients

Locations

5613 Duraleigh Rd
Ste 101
Raleigh, NC 27612
Phone (919) 599-0536

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1114979069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SUSANNA DR UNIT K203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056747",
            "telephone_number": "919-599-0536",
            "fax_number": "919-443-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUSANNA DR UNIT K203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056747",
            "telephone_number": "919-599-0536",
            "fax_number": "919-443-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVETZ",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.