Organization Active NPI

Anna Elizabeth Craig PHD Clinical Psychologist

Doing business as Bull City Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Durham, NC
National Provider Identifier
1316643950
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ANNA ELIZABETH CRAIG PHD CLINICAL PSYCHOLOGIST
Doing business as
Bull City Behavioral Health
Practice address
3500 Westgate Dr Ste 900
Durham, NC 27707-2534
Phone
(919) 891-3096
Fax
(919) 869-1829
NPI assigned
Feb 6, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Kyla Machell Blalock, PHDNPI 1598245292
Title
Psychologist
Phone
(919) 891-3096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3500 Westgate Dr Ste 900
Durham, NC 27707-2534

Mailing address

3500 Westgate Dr Ste 900
Durham, NC 27707-2534

Other names 1

  • Bull City Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

20 W Colony Pl
Ste 230
Durham, NC 27705
Phone (919) 684-3156

3500 Westgate Dr
Ste 900
Durham, NC 27707
Phone (516) 880-4536

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1316643950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR STE 900",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR STE 900",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072534",
            "telephone_number": "919-891-3096",
            "fax_number": "919-869-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA ELIZABETH CRAIG PHD CLINICAL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "KYLA",
        "authorized_official_middle_name": "MACHELL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-891-3096",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bull City Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bull City Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.