NPIMap

Organization Active NPI

Katy Sampson, PH.D., PLLC

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1154767549
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4135 Issued in NC
Legal business name
KATY SAMPSON, PH.D., PLLC
Practice address
5001 S Miami Blvd
325
Durham, NC 27703-8526
Phone
(919) 472-0637
Fax
(919) 246-9390
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Katy Sampson, PH.D.NPI 1922304211
Title
Psychologist/Owner
Phone
(919) 472-0637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4135 NC Primary

Addresses

Primary practice location

5001 S Miami Blvd
325
Durham, NC 27703-8526

Mailing address

5001 S Miami Blvd
325
Durham, NC 27703-8526
Phone (919) 472-0637

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1154767549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S MIAMI BLVD",
            "address_2": "325",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038526",
            "telephone_number": "919-472-0637",
            "fax_number": "919-246-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 S MIAMI BLVD",
            "address_2": "325",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038526",
            "telephone_number": "919-472-0637",
            "fax_number": "919-246-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY SAMPSON, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "919-472-0637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4135",
            "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 Feb 14, 2017; 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.