Courtney M Cantrell, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3861 Issued in NC

Practice address

5448 Apex Peakway # 201
Apex, NC 27502-3924

Phone

(919) 886-4325

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Etheridge Psychology, P.a.

  • Psychologist
  • Cary, NC
  • NPI 1275820144
  Medicare reassignment NPD
• Harbor Counseling and Consulting, PLLC

  • Professional Counselor
  • Apex, NC
  • NPI 1841071909
  Medicare reassignment NPD

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1548428162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 KELLY RD # 204",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029572",
            "telephone_number": "919-886-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 APEX PEAKWAY # 201",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023924",
            "telephone_number": "919-886-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4291",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P81155",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maricela E Caceres
• Kimberly Diane Calixte, OTR/L
• Amy Elizabeth Cameron, MA, CCC-SP
• Megan Camp
• Vandy Lyn Cannon Casey, PA-C
• Cao Health Systems, LLC
• Cardinal Transport LLC
• Care Car
• Careone Medical Group - Primary Care, PLLC
• Carillon Assisted Living of Apex LLC

• Clinical Psychologist in Apex, NC
• Providers in Apex, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.