Eleanor Paige Temple, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2884 Issued in NC

Practice address

511 Saint Andrew St
Tarboro, NC 27886-4434

Phone

(252) 823-6187

Fax

(252) 824-1580

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Tarboro Pediatric Psychology PLLC

  • Clinical Psychologist
  • Tarboro, NC
  • NPI 1992003537
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1154378313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278860613",
            "telephone_number": "252-823-6187",
            "fax_number": "252-641-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864434",
            "telephone_number": "252-823-6187",
            "fax_number": "252-824-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "ELEANOR",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC--PSYCHOLOGIST",
            "identifier": "13416",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarboro Pediatric Psychology PLLC
• Tarboro Psychosocial Rehabilitation
• Tarboro Women'S Center PA
• Jennifer Winchester Taylor, D.D.S.
• Meridith Matthis Taylor, M.D.
• Tender Touch Home Care Services, Co
• Stephanie Ann Tharrington, RDH, BSDH, BA
• The George Lee Jones Foundation Home LLC
• The Ladder
• The Lighthouse Dialysis Foundation, Inc.

• Clinical Psychologist in Tarboro, NC
• Providers in Tarboro, 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 Jan 5, 2012; 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.