NPIMap

Organization Active NPI

Chapel Hill Pediatric Psychology, PA

  • Adolescent and Children Mental Health Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1447337290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CHAPEL HILL PEDIATRIC PSYCHOLOGY, PA
Practice address
205 Sage Rd
Suite 201
Chapel Hill, NC 27514-6995
Phone
(919) 942-4166
Fax
(919) 942-8693
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David B. Riddle Jr., PH.D.NPI 1700800224
Title
President
Phone
(919) 942-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

205 Sage Rd
Suite 201
Chapel Hill, NC 27514-6995

Mailing address

205 Sage Rd
Suite 201
Chapel Hill, NC 27514-6995
Phone (919) 942-4166

Other identifiers 1

IdentifierTypeStateIssuer
0256EOtherNCBCBS OF NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447337290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SAGE RD",
            "address_2": "SUITE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146995",
            "telephone_number": "919-942-4166",
            "fax_number": "919-942-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAGE RD",
            "address_2": "SUITE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146995",
            "telephone_number": "919-942-4166",
            "fax_number": "919-942-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL PEDIATRIC PSYCHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-942-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0256E",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.