Southern Psychology P a

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

3032 Issued in NC

Legal business name

SOUTHERN PSYCHOLOGY P A

Practice address

3500 Westgate Dr
Suite 601
Durham, NC 27707-2567

Phone

(919) 419-0900

Fax

(919) 419-0991

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Katharine V Raleigh, PH.D., M.P.H.

Title

Director

Phone

(919) 419-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1285857433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "SUITE 601",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-419-0900",
            "fax_number": "919-419-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "SUITE 601",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-419-0900",
            "fax_number": "919-419-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PSYCHOLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "RALEIGH",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-419-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Lanier Southerland, RN
• Cindy Cheng-Ja Southerland, RN, ANP, GNP
• Kevin William Southerland, MD
• Southern Assisted Living, LLC.
• Southern Home Care Services, Inc.
• Southern States Staffing Inc
• Southpoint Family Medicine, PLLC
• Southpoint Medicine and Women'S Health Assocates
• Southpoint Opco LLC
• Southpoint Plastic Surgery, PC

• All providers in Durham, NC
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.