Individual provider Active NPI

Anuradha Bhaduri, PSY.D.

  • Clinical Psychologist
  • Apex, NC
National Provider Identifier
1467847764
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6622 Issued in NC
Practice address
1101 Marco Dr Ste 200
Apex, NC 27502-2540
Phone
(919) 636-5240
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.005380 CO
Clinical Psychologist 103TC0700X 6622 NC Primary

Addresses

Primary practice location

1101 Marco Dr Ste 200
Apex, NC 27502-2540

Mailing address

1101 Marco Dr Ste 200
Apex, NC 27502-2540
Phone (919) 636-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216000867 NC Practitioner - Clinical Psychologist 1951837889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

1101 Marco Dr
Suite 200
Apex, NC 27502-2540
Phone (919) 636-5240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.005380COMDPsychologist
6622NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Sep 13, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Sep 13, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Elevated Insights Assessment Clinical PastSince Sep 1, 2023 Accepting new patients
Pacific University Past Accepting new patients

Locations

1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202

7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1467847764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARCO DR STE 200",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022540",
            "telephone_number": "919-636-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MARCO DR STE 200",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022540",
            "telephone_number": "919-636-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHADURI",
        "first_name": "ANURADHA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.005380",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.