Active NPI
Ahmad Azzam Kittaneh
- Psychologist
- Chapel Hill, NC
National Provider Identifier
1649151929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6982
- Practice address
- 1101 Weaver Dairy Rd Ste 102
Chapel Hill, NC 27514-1790 - Phone
- (984) 974-6320
- NPI assigned
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6982 | NC | Primary |
| Clinical Psychologist | 103TC0700X | 103677 | NC |
Addresses
Primary practice location
1101 Weaver Dairy Rd Ste 102
Chapel Hill, NC 27514-1790
Mailing address
1101 Weaver Dairy Rd Ste 102
Chapel Hill, NC 27514-1790
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6982 | NC | MD | Professional Counselor |
| 103677 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1649151929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 WEAVER DAIRY RD STE 102",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 WEAVER DAIRY RD STE 102",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141790",
"telephone_number": "984-974-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTANEH",
"first_name": "AHMAD",
"middle_name": "AZZAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-11",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "6982",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "103677",
"primary": false
}
],
"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 Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.