NPIMap

Organization Active NPI

Unc Department of Psychology Community Clinic

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1619199395
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
UNC DEPARTMENT OF PSYCHOLOGY COMMUNITY CLINIC
Practice address
Unc Department of Psychology Community Clinic
CB# 3270 University of North Carolina at Chapel Hill
Chapel Hill, NC 27599-3270
Phone
(919) 962-5034
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Erica Helene Wise, PH.D.
Title
Director
Phone
(919) 962-5034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

Unc Department of Psychology Community Clinic
CB# 3270 University of North Carolina at Chapel Hill
Chapel Hill, NC 27599-3270

Mailing address

Unc Department of Psychology Community Clinic
CB# 3270 University of North Carolina at Chapel Hill
Chapel Hill, NC 27599-3270
Phone (919) 962-5034

National Provider Directory

National Provider Directory

Locations

3270 University of NC
Chapel Hill, NC 27599
Phone (919) 962-5034

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1619199395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC DEPARTMENT OF PSYCHOLOGY COMMUNITY CLINIC",
            "address_2": "CB# 3270 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993270",
            "telephone_number": "919-962-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC DEPARTMENT OF PSYCHOLOGY COMMUNITY CLINIC",
            "address_2": "CB# 3270 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993270",
            "telephone_number": "919-962-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNC DEPARTMENT OF PSYCHOLOGY COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "HELENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-962-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.