Active NPI
Jessica Marie Solis Sloan, PHD
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1346883543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5428
- Practice address
- 4201 Lake Boone TRL Ste 201
Raleigh, NC 27607-7511 - Phone
- (919) 442-1123
- Fax
- (919) 785-0038
- NPI assigned
- Oct 21, 2019
- 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 | 5428 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL Ste 201
Raleigh, NC 27607-7511
Mailing address
4201 Lake Boone TRL Ste 201
Raleigh, NC 27607-7511
Phone (919) 442-1123
Other practice location 1
100 Europa Dr Ste 260
Chapel Hill, NC 27517-2394
Phone (919) 442-1123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5428 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HRC Behavioral Health & Psychiatry, PA | Single Specialty | Current | Accepting new patients |
Locations
100 Europa Dr
Ste 260
Chapel Hill, NC 27517
Phone (919) 929-1227
4201 Lake Boone Trl
Ste 201
Raleigh, NC 27607
Phone (919) 442-1123
Interoperability endpoints
- https://api.platform.athenahealth.com/16901/brand/1/csg/1/fhir/r4
- jessica.sloan.1@16901.direct.athenahealth.com
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": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1346883543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-442-1123",
"fax_number": "919-785-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-442-1123",
"fax_number": "919-785-0038"
}
],
"practiceLocations": [
{
"address_1": "100 Europa Dr Ste 260",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275172394",
"country_code": "US",
"telephone_number": "919-442-1123",
"fax_number": "919-968-2575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLOAN",
"first_name": "JESSICA",
"middle_name": "MARIE SOLIS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.