Individual provider Active NPI

Emily Raye Sapp, MA,LPA, HSP-PA, BCBA

  • Psychologist
  • Clemmons, NC
National Provider Identifier
1467943969
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5484 Issued in NC
Practice address
110 Twinwood Rd
Clemmons, NC 27012-6726
Phone
(716) 307-8684
Fax
(716) 307-8684
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NC
Psychologist 103T00000X
Psychologist 103T00000X 5484 NC Primary

Addresses

Primary practice location

110 Twinwood Rd
Clemmons, NC 27012-6726

Mailing address

110 Twinwood Rd
Clemmons, NC 27012-6726
Phone (716) 307-8684

Other practice location 1

301 Medical Park Dr
Concord, NC 28025-2981
Phone (704) 780-4271

Other practice location 2

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone (866) 530-5601

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL centralreach.com

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
5484NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightbridge ABA North Carolina LLC Behavior Analyst Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1467943969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TWINWOOD RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270126726",
            "telephone_number": "716-307-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TWINWOOD RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270126726",
            "telephone_number": "716-307-8684",
            "fax_number": "716-307-8684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252981",
            "country_code": "US",
            "telephone_number": "704-780-4271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "telephone_number": "866-530-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPP",
        "first_name": "EMILY",
        "middle_name": "RAYE",
        "credential": "MA,LPA, HSP-PA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "centralreach.com",
            "affiliation": "N",
            "endpointDescription": "ABA platform",
            "address_1": "421 Fayetteville St Ste 1100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276013000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.