Tina Lepage, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2865 Issued in NC

Practice address

1703 Legion Rd
Suite 204
Chapel Hill, NC 27517-2359

Phone

(919) 933-5355

Fax

(919) 929-3227

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 11, 2017 through Jan 11, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lepage Associates

  • Psychologist
  • Durham, NC
  • NPI 1669977732
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508089251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LEGION RD",
            "address_2": "SUITE 204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172359",
            "telephone_number": "919-933-5355",
            "fax_number": "919-929-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LEGION RD",
            "address_2": "SUITE 204",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172359",
            "telephone_number": "919-933-5355",
            "fax_number": "919-929-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPAGE",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000832",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter A Leone, MD
• Fong Leong, M.D.
• Kieran Leong, D.O.
• Martha Elisabeth Leong, DO, MSCR
• Payton Thomas Leonhardt, P.A.
• Sherron Dull Leplin, MED., PHD
• Daniel Matthew Lercher, MD
• Stephanie Lerner-Lapidus, LPC
• Henry R Lesesne, MD
• Jacob Lesinski

• Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.