Theresa Lewis, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

2866 Issued in NC

Practice address

4917 Waters Edge Dr Ste 220
Raleigh, NC 27606-2459

Phone

(919) 622-1303

NPI assigned

Jan 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Lewis Consulting Services, PA

  • Psychologist
  • Raleigh, NC
  • NPI 1740401033
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437334067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1955",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275121955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 WATERS EDGE DR STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062459",
            "telephone_number": "919-622-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Shannon Oaks Cir",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115570",
            "country_code": "US",
            "telephone_number": "919-302-8362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "2866",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2866",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NC",
            "license": "2866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "045WX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nya Lewis
• Ryan M Lewis, FNP-BC
• Shawana Monique Lewis
• Stephanie Hoffman Lewis
• Tammy Y Lewis
• Trina C Lewis, RN
• Leah Leynor, LMFTA
• LHB Counseling Coaching and Consulting LLC
• LHCG L, LLC
• May Li Shih, RPH

• Health Service Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Health Service Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.