Individual provider Active NPI

Rachel Porter, PSYD

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1295027035
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3941 Issued in NC
Practice address
5001 S Miami Blvd Ste 325
Durham, NC 27703-8526
Phone
(919) 727-9867
NPI assigned
May 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3941 NC Primary

Addresses

Primary practice location

5001 S Miami Blvd Ste 325
Durham, NC 27703-8526

Mailing address

5001 S Miami Blvd Ste 325
Durham, NC 27703-8526
Phone (919) 727-9867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625003572 NC Practitioner - Clinical Psychologist 3476097965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina Therapy Professionals PLLCGroup PAC ID 1254795115, 6 clinicians

Practice addresses (Care Compare)

3326 Durham Chapel Hill Blvd
Suite 130B
Durham, NC 27707-6244
Phone (919) 267-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3941NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Therapy Professionals, PLLC Clinical CurrentSince Mar 31, 2024 Accepting new patients

Locations

3326 Durham Chapel Hill Blvd
Ste 130B
Durham, NC 27707
Phone (919) 267-1661

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1295027035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S MIAMI BLVD STE 325",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038526",
            "telephone_number": "919-727-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 S MIAMI BLVD STE 325",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038526",
            "telephone_number": "919-727-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.