NPIMap

Organization Active NPI

Sunrise Clinical Associates PLLC

  • Psychologist
  • Durham, NC
National Provider Identifier
1326221441
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2596 Issued in NC
Legal business name
SUNRISE CLINICAL ASSOCIATES PLLC
Practice address
3500 Westgate Dr
Suite 604
Durham, NC 27707-2567
Phone
(919) 493-5013
Fax
(919) 493-5026
NPI assigned
Dec 12, 2007
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Mr. Anya Onuoha OdimNPI 1306910781
Title
Director
Phone
(919) 493-5013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2596 NC Primary

Addresses

Primary practice location

3500 Westgate Dr
Suite 604
Durham, NC 27707-2567

Mailing address

3500 Westgate Dr
Suite 604
Durham, NC 27707-2567
Phone (919) 493-5013

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Clinical Associates PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3500 Westgate Dr
Ste 604
Durham, NC 27707
Phone (919) 451-6337

Practitioners & affiliated clinicians

Practitioners 1

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1326221441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "SUITE 604",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-493-5013",
            "fax_number": "919-493-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "SUITE 604",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-493-5013",
            "fax_number": "919-493-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CLINICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "ODIM",
        "authorized_official_first_name": "ANYA",
        "authorized_official_middle_name": "ONUOHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-493-5013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 16, 2013; 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.