Emilie Ross Raphael, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PP2335 Issued in NC

Practice address

251A Cedar Lake Rd
The Lake House
Chapel Hill, NC 27516-9544

Phone

(919) 932-7727

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Dr. Emilie Ross Laird Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1720295447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DIANA DEL SILVA CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168692",
            "telephone_number": "919-932-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251A CEDAR LAKE RD",
            "address_2": "THE LAKE HOUSE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169544",
            "telephone_number": "919-932-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "EMILIE",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "420707-01",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "PP2335",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11336532",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER NUMBER",
            "identifier": "35090",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PP2335",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "LAIRD",
            "middle_name": "ROSS",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suraj Rao
• Vineeta Rao, PHARMD, BCPS, CPP
• Brittany Dawn Rapacz, RN
• Sonia Rapaport, MD
• Theresa E Raphael-Grimm, PHD
• Carolyn Day Rapp
• Christine Anne Rardin, PA
• Karissa Ladonna Raschke, LCSWA
• Mary Margaret Rupard Rasic
• Brett A. Rasmussen, P.A.-C.

• Cognitive & Behavioral Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Cognitive & Behavioral Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; 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.