Individual provider Active NPI

Pamela Jean Trent, PHD

  • Psychologist
  • Durham, NC
National Provider Identifier
1699747840
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1255 Issued in NC
Practice address
4125 Ben Franklin Blvd
Suite 160
Durham, NC 27704-2167
Phone
(919) 479-1600
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1255 NC Primary

Addresses

Primary practice location

4125 Ben Franklin Blvd
Suite 160
Durham, NC 27704-2167

Mailing address

4125 Ben Franklin Blvd
Suite 160
Durham, NC 27704-2167

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110207000586 NC Practitioner - Clinical Psychologist 7517934680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Philadelphia College of Osteopathic Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric and Psychological Associates of Durham, PLLCGroup PAC ID 4587631130, 13 clinicians

Practice addresses (Care Compare)

4004 Ben Franklin Blvd
Durham, NC 27704-2138
Phone (919) 479-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric & Psychological Associates of Durham, PLLC Psychologist CurrentSince Mar 1, 1998 Accepting new patients

Locations

4004 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 471-5474

4125 Ben Franklin Blvd
Ste 160
Durham, NC 27704
Phone (919) 479-1600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1699747840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 BEN FRANKLIN BLVD",
            "address_2": "SUITE 160",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BEN FRANKLIN BLVD",
            "address_2": "SUITE 160",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042167",
            "telephone_number": "919-479-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.