Western Wake Counseling & Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2878 Issued in NC

Legal business name

WESTERN WAKE COUNSELING & PSYCHOLOGICAL SERVICES, PLLC

Practice address

8000 Regency Pkwy
Suite 570
Cary, NC 27518-8582

Phone

(919) 467-3831

Fax

(919) 467-1611

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tammie Ducre Moore, PH.D.NPI 1881806958

Title

Owner

Phone

(919) 467-3831

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammie Ducre Moore, PHD

  • Psychologist
  • Cary, NC
  • NPI 1881806958
  Medicare reassignment Authorized official
• Whitney Grace McLaughlin, LCMHC

  • Professional Counselor
  • Cary, NC
  • NPI 1104477330
  NPD
• Michelle Brosemer Rissling, PHD

  • Clinical Psychologist
  • Cary, NC
  • NPI 1689041030
  NPD (past)

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1275779571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 REGENCY PKWY",
            "address_2": "SUITE 570",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188582",
            "telephone_number": "919-467-3831",
            "fax_number": "919-467-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 REGENCY PKWY",
            "address_2": "SUITE 570",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188582",
            "telephone_number": "919-467-3831",
            "fax_number": "919-467-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WAKE COUNSELING & PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "DUCRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-467-3831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Manning West, PHARMD
• Megan Caroline West
• Melissa Kuhns West, DPT
• Rebecca West
• Teoletta Suzette West, LCSW
• Western Wake Eye Center PA
• Western Wake Internal Medicine
• Western Wake Internal Medicine
• Western Wake Medical Associates, PLLC
• Western Wake Pediatrics, PA

• Clinical Psychologist in Cary, NC
• Providers in Cary, 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 Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.