Active NPI
Barbara June Still, PH.D.
- Clinical Child & Adolescent Psychologist
- Raleigh, NC
National Provider Identifier
1508077249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2184
- Practice address
- 4904 Waters Edge Dr
Suite 264
Raleigh, NC 27606-2484 - Phone
- (919) 858-7887
- Fax
- (919) 858-5709
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2184 | NC | Primary |
Addresses
Primary practice location
4904 Waters Edge Dr
Suite 264
Raleigh, NC 27606-2484
Mailing address
4904 Waters Edge Dr
Suite 264
Raleigh, NC 27606-2484
Phone (919) 858-7887
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 |
|---|---|---|---|
| 2184 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508077249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 WATERS EDGE DR",
"address_2": "SUITE 264",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062484",
"telephone_number": "919-858-7887",
"fax_number": "919-858-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 WATERS EDGE DR",
"address_2": "SUITE 264",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062484",
"telephone_number": "919-858-7887",
"fax_number": "919-858-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILL",
"first_name": "BARBARA",
"middle_name": "JUNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "2184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, 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.