Active NPI
Patricia Walton Collins, PHD
- School Psychologist
- Raleigh, NC
National Provider Identifier
1255448346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1718
- Practice address
- 2310 Stinson Dr
Ncsu Department of Psychology Poe Hall RM 640
Raleigh, NC 27695-7650 - Phone
- (919) 515-1713
- Fax
- (919) 515-1716
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1718 | NC | Primary |
Addresses
Primary practice location
2310 Stinson Dr
Ncsu Department of Psychology Poe Hall RM 640
Raleigh, NC 27695-7650
Mailing address
5213 Carter St
Raleigh, NC 27612
Phone (919) 781-0334
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255448346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 CARTER ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27612",
"telephone_number": "919-781-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 STINSON DR",
"address_2": "NCSU DEPARTMENT OF PSYCHOLOGY POE HALL RM 640",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276957650",
"telephone_number": "919-515-1713",
"fax_number": "919-515-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "PATRICIA",
"middle_name": "WALTON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "1718",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.