Active NPI
Nancy C. Peters, PH.D.
- Clinical Psychologist
- Wilmington, NC
National Provider Identifier
1356318737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0438
- Legal business name
- NANCY C. PETERS, PH.D.
- Practice address
- 2450 Delaney Rd
Wilmington, NC 28403-6062 - Phone
- (910) 762-9083
- NPI assigned
- Mar 3, 2006
- Last updated
- Oct 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy C. Peters, PH.D.
- Title
- Owner
- Phone
- (910) 762-9083
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0438 | NC | Primary |
Addresses
Primary practice location
2450 Delaney Rd
Wilmington, NC 28403-6062
Mailing address
2450 Delaney Rd
Wilmington, NC 28403-6062
Phone (910) 762-9083
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04360 | Other | BLUE CROSS/BLUE SHIELD | |
| 61-07217 | Other | UBH | |
| 70180 | Other | MEDCOST | |
| 071991 | Other | VALUE OPTIONS | |
| 900012686 | Other | PRIORITY HEALTH | |
| 6000101 | Medicaid | NC | |
| 7266127 | Other | AETNA | |
| IPO39303 | Other | MAGELLAN |
National Provider Directory
National Provider DirectoryLocations
2450 Delaney Ave
Wilmington, NC 28403
Phone (910) 256-3784
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.
-
- Clinical Psychologist
- Wilmington, NC
- NPI 1194792580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318982400000",
"number": "1356318737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 DELANEY RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036062",
"telephone_number": "910-762-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 DELANEY RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036062",
"telephone_number": "910-762-9083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY C. PETERS, PH.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-03",
"last_updated": "2011-10-19",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-762-9083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "04360",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "61-07217",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "70180",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "071991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "900012686",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000101",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7266127",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "IPO39303",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.