Active NPI
Rita Madrazo-Peterson, PH.D.
- Counseling Psychologist
- Durham, NC
National Provider Identifier
1528084159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2953
- Practice address
- 1502 W NC Highway 54
Suite 505
Durham, NC 27707-5571 - Phone
- (919) 932-1680
- Fax
- (919) 960-5126
- NPI assigned
- Jul 15, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2953 | NC | Primary |
Addresses
Primary practice location
1502 W NC Highway 54
Suite 505
Durham, NC 27707-5571
Mailing address
908 Bayberry Dr
Chapel Hill, NC 27517-8394
Phone (919) 932-1680
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000411 | Medicaid | NC | |
| 74982851 | Other | UNITEDHEALTHCARE | |
| 133885 | Other | GHI, BMP | |
| 331072 | Other | MHN/HMC | |
| 133885 | Other | VALUEOPTIONS, CDPHP, CHCS | |
| 14214800 | Other | MAGELLAN | |
| 0451U | Other | NC | BLUECROSS BLUE SHIELD |
| 230304 | Other | COMPSYCH | |
| 4619612 | Other | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528084159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 BAYBERRY DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178394",
"telephone_number": "919-932-1680",
"fax_number": "919-960-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W NC HIGHWAY 54",
"address_2": "SUITE 505",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075571",
"telephone_number": "919-932-1680",
"fax_number": "919-960-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRAZO-PETERSON",
"first_name": "RITA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "2953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000411",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "74982851",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI, BMP",
"identifier": "133885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN/HMC",
"identifier": "331072",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS, CDPHP, CHCS",
"identifier": "133885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "14214800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "0451U",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "230304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4619612",
"state": null
}
],
"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.