Elaine Elizabeth Coonrod, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3372 Issued in NC

Practice address

Chapel Hill Teacch Center
CB# 6305
Chapel Hill, NC 27599-6305

Phone

(919) 966-4684

Fax

(919) 966-4003

NPI assigned

Dec 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1225331796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RENEE LYNN CT",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106511",
            "telephone_number": "919-966-4684",
            "fax_number": "919-966-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHAPEL HILL TEACCH CENTER",
            "address_2": "CB# 6305",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996305",
            "telephone_number": "919-966-4684",
            "fax_number": "919-966-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONROD",
        "first_name": "ELAINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3372",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": "3372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cook, DDS
• Mikael Chandler Cooke, PHARMD
• David Lawrence Cookmeyer, MD
• Mary H. Cooley, M.D.
• Randall F Coombs, MD
• Joshua Taylor Coons, MD
• Charles L. Cooper, PH.D.
• Katherine Lynn Cooper, MSW, LCSW, LCAS, CCS
• Kathleen T Cooper, PT, DPT
• Kyle Lee Cooper, PT

• Clinical Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.