Individual provider Active NPI

Peregrine Murphy Kavros, PH.D.

  • Health Service Psychologist
  • Hillsborough, NC
National Provider Identifier
1174738181
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
4870 Issued in NC
Practice address
1311 Lawrence Rd
Hillsborough, NC 27278-8519
Phone
(914) 420-6448
NPI assigned
May 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4870 NC
Clinical Neuropsychologist 103G00000X 016313-1 NY
Cognitive & Behavioral Psychologist 103TB0200X 016313-1 NY
Cognitive & Behavioral Psychologist 103TB0200X 4870 NC
Health Service Psychologist 103TH0100X 4870 NC Primary

Addresses

Primary practice location

1311 Lawrence Rd
Hillsborough, NC 27278-8519

Mailing address

1311 Lawrence Rd
Hillsborough, NC 27278-8519
Phone (914) 420-6448

Other identifiers 1

IdentifierTypeStateIssuer
11496523OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
016313-1NYMDCognitive & Behavioral Psychologist
4870NCMDHealth Service Psychologist
016313NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1174738181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 LAWRENCE RD",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788519",
            "telephone_number": "914-420-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LAWRENCE RD",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788519",
            "telephone_number": "914-420-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVROS",
        "first_name": "PEREGRINE",
        "middle_name": "MURPHY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "4870",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "016313-1",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "016313-1",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "4870",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "4870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11496523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

Verify at the official NPI Registry.