Active NPI
Eleanor Edith Cruise, PSYCHOLOGIST
- Clinical Psychologist
- Clayton, NC
National Provider Identifier
1295948149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2943
- Practice address
- 256 Trillium Way
Clayton, NC 27527-5353 - Phone
- (919) 212-3222
- Fax
- (800) 887-0946
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2943 | NC | Primary |
Addresses
Primary practice location
256 Trillium Way
Clayton, NC 27527-5353
Mailing address
256 Trillium Way
Clayton, NC 27527
Phone (919) 212-3222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2943 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295948149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 TRILLIUM WAY",
"city": "CLAYTON",
"state": "NC",
"postal_code": "27527",
"telephone_number": "919-212-3222",
"fax_number": "800-887-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 TRILLIUM WAY",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275275353",
"telephone_number": "919-212-3222",
"fax_number": "800-887-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUISE",
"first_name": "ELEANOR",
"middle_name": "EDITH",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.