Individual provider Active NPI

Mary Grimley Prieur, PH.D.

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1245581040
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
102990 Issued in NC
Practice address
CB # 7160
Department of Psychiatry, Unc School of Medicine
Chapel Hill, NC 27599-7160
Phone
(919) 843-3209
Fax
(919) 843-6102
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 102990 NC Primary
Clinical Child & Adolescent Psychologist 103TC2200X 102990 NC

Addresses

Primary practice location

CB # 7160
Department of Psychiatry, Unc School of Medicine
Chapel Hill, NC 27599-7160

Mailing address

CB # 7160
Department of Psychiatry, Unc School of Medicine
Chapel Hill, NC 27599-7160
Phone (919) 843-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000396 NC Practitioner - Clinical Psychologist 3779737762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Miami, LM Miller School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
102990NCMDClinical Child & Adolescent Psychologist
4349NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Clinical CurrentSince Jan 1, 2013 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

Interoperability endpoints

  • Direct secure messaging: mgrimley30320@direct.unc.nchie.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1245581040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CB # 7160",
            "address_2": "DEPARTMENT OF PSYCHIATRY, UNC SCHOOL OF MEDICINE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997160",
            "telephone_number": "919-843-3209",
            "fax_number": "919-843-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CB # 7160",
            "address_2": "DEPARTMENT OF PSYCHIATRY, UNC SCHOOL OF MEDICINE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997160",
            "telephone_number": "919-843-3209",
            "fax_number": "919-843-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEUR",
        "first_name": "MARY",
        "middle_name": "GRIMLEY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "102990",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "102990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.