Active NPI
Lewis Consulting Services, PA
- Psychologist
- Raleigh, NC
National Provider Identifier
1740401033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2866
- Legal business name
- LEWIS CONSULTING SERVICES, PA
- Doing business as
- Wake Psychological Health and Wellness
- Practice address
- 4917 Waters Edge Dr Ste 220
Raleigh, NC 27606 - Phone
- (919) 622-1303
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theresa O Lewis, PH.D.
- Title
- Psychologist
- Phone
- (919) 622-1303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2866 | NC | Primary |
| Clinical Psychologist | 103TC0700X | |||
| Counseling Psychologist | 103TC1900X | |||
| Health Psychologist | 103TH0004X | |||
| Health Service Psychologist | 103TH0100X | 2866 | NC |
Addresses
Primary practice location
4917 Waters Edge Dr Ste 220
Raleigh, NC 27606
Mailing address
PO Box 1955
Cary, NC 27512-1955
Phone (919) 622-1303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017KY | Other | NC | BLUE CROSS BLUE SHIELD |
Other names 1
- Wake Psychological Health and Wellness
National Provider Directory
National Provider DirectoryLocations
4917 Waters Edge Dr
Ste 220
Raleigh, NC 27606
Phone (704) 622-1303
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Service Psychologist
- Raleigh, NC
- NPI 1437334067
-
- Psychologist
- Raleigh, NC
- NPI 1730444811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535241600000",
"number": "1740401033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1955",
"city": "CARY",
"state": "NC",
"postal_code": "275121955",
"telephone_number": "919-622-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4917 WATERS EDGE DR STE 220",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27606",
"telephone_number": "919-622-1303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS CONSULTING SERVICES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2018-08-26",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "919-622-1303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "2866",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "2866",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "017KY",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wake Psychological Health and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.