Active NPI
George S Ake III, PH.D.
- Counseling Psychologist
- Durham, NC
National Provider Identifier
1497812853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3011
- Practice address
- 411 W Chapel Hill St
Suite 908
Durham, NC 27701-3616 - Phone
- (919) 419-3474
- Fax
- (919) 419-9353
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3011 | NC | Primary |
Addresses
Primary practice location
411 W Chapel Hill St
Suite 908
Durham, NC 27701-3616
Mailing address
411 W Chapel Hill St
Suite 908
Durham, NC 27701-3616
Phone (919) 419-3474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000576 | Medicaid | NC |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Parent Support Services | Past | Accepting new patients | |
| Center for Child and Family Health | Past | Accepting new patients | |
| Duke University | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Durham, NC
- NPI 1982747747
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1902940224
-
- Child & Adolescent Psychiatry Physician
- Durham, NC
- NPI 1215070826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497812853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W CHAPEL HILL ST",
"address_2": "SUITE 908",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013616",
"telephone_number": "919-419-3474",
"fax_number": "919-419-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W CHAPEL HILL ST",
"address_2": "SUITE 908",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013616",
"telephone_number": "919-419-3474",
"fax_number": "919-419-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKE",
"first_name": "GEORGE",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "3011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000576",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.