Individual provider Active NPI

Tiffany Hopkins, PH.D

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1467964379
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5266 Issued in NC
Practice address
361 The Greens Cir Apt 244
Raleigh, NC 27606-5259
Phone
(561) 312-1661
NPI assigned
Nov 1, 2017
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5266 NC Primary

Addresses

Primary practice location

361 The Greens Cir Apt 244
Raleigh, NC 27606-5259

Mailing address

361 The Greens Cir Apt 244
Raleigh, NC 27606-5259
Phone (561) 312-1661

Other names 1

  • Tiffany Ann Wagner Former name

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
I20180201000496 NC Practitioner - Clinical Psychologist 8628338134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5266NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jan 21, 2026 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jan 21, 2026 Accepting new patients
University of North Carolina at Chapel Hill Clinical CurrentSince Dec 5, 2017 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1101 Weaver Dairy Rd
Ste 103
Chapel Hill, NC 27514
Phone (919) 966-6039

55 Vilcom Center Dr
Ste 300
Chapel Hill, NC 27514
Phone (984) 215-5000

77 Vilcom Cir
Ste 300
Chapel Hill, NC 27514
Phone (984) 974-5217

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1467964379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 THE GREENS CIR APT 244",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065259",
            "telephone_number": "561-312-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 THE GREENS CIR APT 244",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065259",
            "telephone_number": "561-312-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WAGNER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.