Active NPI
Donna M Peaslee, PHD
- Clinical Psychologist
- Durham, NC
National Provider Identifier
1154537868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2002
- Practice address
- 3506 NC Hwy 55
Suite 105
Durham, NC 27713 - Phone
- (919) 490-7909
- Fax
- (910) 328-6153
- NPI assigned
- May 16, 2007
- 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 | 2002 | NC | Primary |
Addresses
Primary practice location
3506 NC Hwy 55
Suite 105
Durham, NC 27713
Mailing address
122 Windjammer Drive
Surf City, NC 28445
Phone (919) 490-7909
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 |
|---|---|---|---|
| 2002 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154537868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 WINDJAMMER DRIVE",
"city": "SURF CITY",
"state": "NC",
"postal_code": "28445",
"telephone_number": "919-490-7909",
"fax_number": "910-328-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 NC HWY 55",
"address_2": "SUITE 105",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-490-7909",
"fax_number": "910-328-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEASLEE",
"first_name": "DONNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2002",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.