Active NPI
Christopher Higgins Clougherty, PH.D
- Psychologist
- Durham, NC
National Provider Identifier
1154375293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1449
- Practice address
- 515 Continental Dr
Durham, NC 27712-2419 - Phone
- (919) 475-2136
- Fax
- (919) 383-2228
- NPI assigned
- May 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1449 | NC | Primary |
Addresses
Primary practice location
515 Continental Dr
Durham, NC 27712-2419
Mailing address
515 Continental Dr
Durham, NC 27712-2419
Phone (919) 475-2136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60000622 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1449 | NC | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Development Corporation of America | Past | Accepting new patients | |
| Youth Development Corporation of America | Past | Accepting new patients | |
| Pride in North Carolina, LLC | Past | Accepting new patients | |
| North Raleigh Family Clinic | Past | Accepting new patients | |
| Effective Therapy Consultants,PA.LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1982844999
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1346276565
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1821136581
-
- Community/Behavioral Health Agency
- Pittsboro, NC
- NPI 1336280270
-
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1629023569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1154375293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CONTINENTAL DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277122419",
"telephone_number": "919-475-2136",
"fax_number": "919-383-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CONTINENTAL DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277122419",
"telephone_number": "919-475-2136",
"fax_number": "919-383-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGHERTY",
"first_name": "CHRISTOPHER",
"middle_name": "HIGGINS",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60000622",
"state": "NC"
}
],
"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 Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.