Active NPI
Elizabeth P. Sparrow, PH.D.
- Clinical Neuropsychologist
- Raleigh, NC
National Provider Identifier
1275677502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3756
- Practice address
- N Carolina State University
Department of Psychology, Box 7650
Raleigh, NC 27695-0001 - Phone
- (410) 905-4607
- NPI assigned
- Feb 19, 2007
- Last updated
- Nov 8, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 03955 | MD | |
| Clinical Neuropsychologist | 103G00000X | 3756 | NC | Primary |
| Psychologist | 103T00000X | 03955 | MD | |
| Clinical Psychologist | 103TC0700X | 03955 | MD | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 03955 | MD | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 03955 | MD |
Addresses
Primary practice location
N Carolina State University
Department of Psychology, Box 7650
Raleigh, NC 27695-0001
Mailing address
PO Box 20382
Raleigh, NC 27619-0382
Phone (410) 905-4607
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03955 | MD | MD | Clinical Psychologist |
| 3756 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1275677502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20382",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276190382",
"telephone_number": "410-905-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N CAROLINA STATE UNIVERSITY",
"address_2": "DEPARTMENT OF PSYCHOLOGY, BOX 7650",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276950001",
"telephone_number": "410-905-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARROW",
"first_name": "ELIZABETH",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MD",
"license": "03955",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NC",
"license": "3756",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "03955",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03955",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "03955",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MD",
"license": "03955",
"primary": false
}
],
"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 Nov 8, 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.