Active NPI
Courtney Pruett
- Clinical Psychologist
- Auburn, AL
National Provider Identifier
1427410232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2327
- Practice address
- 861 N Dean Rd Ste D
Auburn, AL 36830-9421 - Phone
- (334) 887-4343
- NPI assigned
- Mar 22, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Other Technician | 247200000X | 2318 | AL | |
| Clinical Psychologist | 103TC0700X | 2327 | AL | Primary |
Addresses
Primary practice location
861 N Dean Rd Ste D
Auburn, AL 36830-9421
Mailing address
861 N Dean Rd Ste D
Auburn, AL 36830-9421
Phone (334) 887-4343
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 |
|---|---|---|---|
| 2318 | AL | MD | Rehabilitation Chiropractor |
| 2327 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Psychology Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- courtney.hess.p1@direct.wheelerclinic.nextgenshare.com
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.
-
- Psychologist
- Auburn, AL
- NPI 1083980676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1427410232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 N DEAN RD STE D",
"city": "AUBURN",
"state": "AL",
"postal_code": "368309421",
"telephone_number": "334-887-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 N DEAN RD STE D",
"city": "AUBURN",
"state": "AL",
"postal_code": "368309421",
"telephone_number": "334-887-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "AL",
"license": "2318",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "2327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.