Kristopher Lueron Clounch, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4100 Issued in NC

Practice address

2216 S Miami Blvd
Ste 103
Durham, NC 27703-6281

Phone

(919) 806-0509

Fax

(866) 820-8694

NPI assigned

Apr 5, 2011

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1215226790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 S MIAMI BLVD",
            "address_2": "STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036281",
            "telephone_number": "919-806-0509",
            "fax_number": "866-820-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 S MIAMI BLVD",
            "address_2": "STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036281",
            "telephone_number": "919-806-0509",
            "fax_number": "866-820-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUNCH",
        "first_name": "KRISTOPHER",
        "middle_name": "LUERON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeylan Suzan Close, MD
• Joy Ellen Close, LCSW
• Lucile Clotfelter, M.D.
• Brian P Clougherty, M.A., M.DIV., LPC
• Christopher Higgins Clougherty, PH.D
• Martin C. Clowse, M.D.
• Megan Clowse
• Stephanie Diana Clune, AGACNP-BC
• CNC / Access Inc.
• CNC / Access Inc.

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.