Active NPI
Delice Coffey, ED.D.
- Psychologist
- Durham, NC
National Provider Identifier
1396965299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1653
- Practice address
- 4819 Emperor Blvd Ste 400
Durham, NC 27703-5420 - Phone
- (704) 201-2460
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1653 | NC | Primary |
Addresses
Primary practice location
4819 Emperor Blvd Ste 400
Durham, NC 27703-5420
Mailing address
1110 Scholastic Cir
Durham, NC 27713-6580
Phone (704) 201-2460
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1653 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1396965299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 SCHOLASTIC CIR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136580",
"telephone_number": "704-201-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4819 EMPEROR BLVD STE 400",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035420",
"telephone_number": "704-201-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY",
"first_name": "DELICE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1653",
"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 Dec 7, 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.