Mary Sandra Story, PSY.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2659 Issued in NC

Practice address

8512 Six Forks Rd
Suite 102
Raleigh, NC 27615-2962

Phone

(919) 844-8711

Fax

(919) 844-8706

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sandra M. Story, Psy.D., P.C.

  • Psychologist
  • Raleigh, NC
  • NPI 1023075207
  NPD (past) Authorized official

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295791143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 SIX FORKS RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152962",
            "telephone_number": "919-844-8711",
            "fax_number": "919-844-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 SIX FORKS RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152962",
            "telephone_number": "919-844-8711",
            "fax_number": "919-844-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "MARY",
        "middle_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000365",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Stoner
• Elena Storelli
• Ciara Rose Storer, MS, OTR/L
• Ashley Rebecca-Brooke Storm
• Sherry C Storrs-Casanova, MSW, LCSWA
• Kimberly Stotts
• Ashley Taylor Stout, PA-C
• Sarah Jane Qianyun Stout
• Mary Elizabeth Stovall, FNP
• Wanda Capps Stovall, LCSW

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, 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 Jul 9, 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.

Verify at the official NPI Registry.