Active NPI
Shiquita Marie Graham Hyman, M.S.
- Psychologist
- Raleigh, NC
National Provider Identifier
1679825335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4311
- Practice address
- 421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000 - Phone
- (843) 598-9002
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4311 | NC | Primary |
Addresses
Primary practice location
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (877) 418-2978
Other practice location 1
1320 Main St Ste 300
Columbia, SC 29201-3266
Phone (877) 418-2978
Other practice location 2
1388 Falkirk Dr
Burlington, NC 27215-9863
Phone (843) 598-9002
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4311 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1679825335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817",
"telephone_number": "877-418-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 FAYETTEVILLE ST STE 1100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276013000",
"telephone_number": "843-598-9002"
}
],
"practiceLocations": [
{
"address_1": "1320 Main St Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292013266",
"country_code": "US",
"telephone_number": "877-418-2978",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1388 Falkirk Dr",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272159863",
"country_code": "US",
"telephone_number": "843-598-9002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM HYMAN",
"first_name": "SHIQUITA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.