Active NPI
Grace R Stroud, M.A.
- Psychologist
- Raleigh, NC
National Provider Identifier
1255387973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2003
- Practice address
- 3948 Browning PL
Raleigh, NC 27609-6512 - Phone
- (919) 783-6776
- Fax
- (919) 783-6776
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2003 | NC | Primary |
Addresses
Primary practice location
3948 Browning PL
Raleigh, NC 27609-6512
Mailing address
1005 Mills St
Raleigh, NC 27608-1833
Phone (919) 818-3689
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046HV | Other | NC | BCBS |
| 6107266 | Medicaid | NC |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520640000000",
"number": "1255387973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MILLS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276081833",
"telephone_number": "919-818-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 BROWNING PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096512",
"telephone_number": "919-783-6776",
"fax_number": "919-783-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUD",
"first_name": "GRACE",
"middle_name": "R",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2018-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "046HV",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107266",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.