Active NPI
Psychological Health Associates, PA
- Clinical Child & Adolescent Psychologist
- Cary, NC
National Provider Identifier
1417904137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 751
- Legal business name
- PSYCHOLOGICAL HEALTH ASSOCIATES, PA
- Practice address
- 102 Commonwealth CT
Ste H
Cary, NC 27511-4437 - Phone
- (919) 467-2876
- Fax
- (919) 467-6871
- NPI assigned
- May 28, 2006
- Last updated
- Mar 12, 2015
- 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. Paul R Krasner, PHD
- Title
- President
- Phone
- (919) 467-2876
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 751 | NC | Primary |
Addresses
Primary practice location
102 Commonwealth CT
Ste H
Cary, NC 27511-4437
Mailing address
102 Commonwealth CT
Ste H
Cary, NC 27511-4437
Phone (919) 467-2876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0267G | Other | NC | BLUE CROSS/ BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cognitive & Behavioral Psychologist
- Cary, NC
- NPI 1306994439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1417904137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 COMMONWEALTH CT",
"address_2": "STE H",
"city": "CARY",
"state": "NC",
"postal_code": "275114437",
"telephone_number": "919-467-2876",
"fax_number": "919-467-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 COMMONWEALTH CT",
"address_2": "STE H",
"city": "CARY",
"state": "NC",
"postal_code": "275114437",
"telephone_number": "919-467-2876",
"fax_number": "919-467-6871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL HEALTH ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "KRASNER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-467-2876",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "0267G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
- Metta Pry
- Aleksandra Przulj
- Michael John Przybowski, LCMHC-A
- Psychiatric Consultants of Cary
- Psychiatric Services and Consultation, PC
- Psychological Services of North Carolina
- Psychworks by Steele, PLLC
- PT Solutions of North Carolina LLC
- Publix North Carolina LP (Publix Pharmacy #1466)
- Publix North Carolina LP (Publix Pharmacy #1520)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.