Active NPI
Eric Dedert, PH.D.
- Clinical Psychologist
- Durham, NC
National Provider Identifier
1205150075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3920
- Practice address
- 508 Fulton St
116B-Beckham
Durham, NC 27705-3875 - Phone
- (919) 286-0411
- Fax
- (919) 416-5922
- NPI assigned
- Mar 22, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3920 | NC | Primary |
Addresses
Primary practice location
508 Fulton St
116B-Beckham
Durham, NC 27705-3875
Mailing address
508 Fulton St
116B-Beckham
Durham, NC 27705-3875
Phone (919) 286-0411
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3920 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1205150075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 FULTON ST",
"address_2": "116B-BECKHAM",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053875",
"telephone_number": "919-286-0411",
"fax_number": "919-416-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON ST",
"address_2": "116B-BECKHAM",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053875",
"telephone_number": "919-286-0411",
"fax_number": "919-416-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDERT",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3920",
"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 Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.