Individual provider Active NPI

Elei David Stuart, M.A., LPA

  • Psychologist
  • Greenville, NC
National Provider Identifier
1366756512
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
NC 2274 Issued in NC
Practice address
3851 Dunhagan Rd Ste 102
Greenville, NC 27858
Phone
(252) 751-0518
Fax
(252) 565-4505
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2274 NC
Psychologist 103T00000X NC 2274 NC Primary

Addresses

Primary practice location

3851 Dunhagan Rd Ste 102
Greenville, NC 27858

Mailing address

3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Phone (252) 751-0518

Other practice location 1

3171 Wrightsville Ave
Wilmington, NC 28403-4184
Phone (252) 751-0518

Other practice location 2

3950 Clemmons Rd
Clemmons, NC 27012-8479
Phone (252) 751-0518

Other practice location 3

207 Winklers Creek Rd Ste 1
Boone, NC 28607-7838
Phone (252) 751-0518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2274NCMDProfessional Counselor
NC 2274NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Framework NC LLC Psychologist Past Accepting new patients

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1366756512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 DUNHAGAN RD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586640",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 DUNHAGAN RD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3171 Wrightsville Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034184",
            "country_code": "US",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Clemmons Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128479",
            "country_code": "US",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Winklers Creek Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286077838",
            "country_code": "US",
            "telephone_number": "252-751-0518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "ELEI",
        "middle_name": "DAVID",
        "credential": "M.A., LPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2274",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "NC 2274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.