Active NPI
Sara Elizabeth Trace, PH.D., L.C.P.
- Clinical Psychologist
- Chapel Hill, NC
National Provider Identifier
1427398494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4408
- Practice address
- 1829 E Franklin St Ste 100a
Chapel Hill, NC 27514-5865 - Phone
- (615) 554-2927
- NPI assigned
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4408 | NC | Primary |
Addresses
Primary practice location
1829 E Franklin St Ste 100a
Chapel Hill, NC 27514-5865
Mailing address
299 Summerwalk Cir
Chapel Hill, NC 27517-8668
Phone (615) 554-2927
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4408 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1427398494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 SUMMERWALK CIR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178668",
"telephone_number": "615-554-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 E FRANKLIN ST STE 100A",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275145865",
"telephone_number": "615-554-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACE",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D., L.C.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.