Organization Active NPI

Nancy C. Peters, PH.D.

  • Clinical Psychologist
  • Wilmington, NC
National Provider Identifier
1356318737
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0438 Issued in NC
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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.NPI 1194792580
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04360OtherBLUE CROSS/BLUE SHIELD
61-07217OtherUBH
70180OtherMEDCOST
071991OtherVALUE OPTIONS
900012686OtherPRIORITY HEALTH
6000101MedicaidNC
7266127OtherAETNA
IPO39303OtherMAGELLAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.