Individual provider Active NPI

Mary Sue Huelsbeck, PH.D.

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1699740118
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
946 Issued in NC
Practice address
629 Oberlin Road
Raleigh, NC 27605
Phone
(919) 781-9657
NPI assigned
Feb 19, 2006
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 946 NC Primary

Addresses

Primary practice location

629 Oberlin Road
Raleigh, NC 27605

Mailing address

629 Oberlin Rd
Raleigh, NC 27605-1126
Phone (919) 781-9657

Other names 1

  • Mrs. Mary Huelsbeck Sibrack Professional name

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1699740118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051126",
            "telephone_number": "919-781-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 OBERLIN ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27605",
            "telephone_number": "919-781-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUELSBECK",
        "first_name": "MARY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-19",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SIBRACK",
            "middle_name": "HUELSBECK",
            "prefix": "MRS.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 31, 2013; 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.