Tina Marie Gremore, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3544 Issued in NC

Practice address

101 Cloister CT
Suite D
Chapel Hill, NC 27514-2207

Phone

(919) 271-0126

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Private Diagnostic Clinic, PLLC

  • Psychologist
  • Cary, NC
  • NPI 1326598459
  NPD (past)
• Regional Psychiatry, PLLC

  • Adult Mental Health Clinic/Center
  • Cary, NC
  • NPI 1639298714
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1740410034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63362",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633362",
            "telephone_number": "919-620-4918",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLOISTER CT",
            "address_2": "SUITE D",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142207",
            "telephone_number": "919-271-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMORE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Greer, MS, CCC-SLP
• Christina Stutts Greeson, CPNP
• Mac A Greganti, MD
• Nansi Greger-Holt
• Gregory a Welikson, PHD, PLLC
• Hanna Carey Grenon, MS, OTR/L
• Angela Colleen Gresham, RPH, M.S.
• Tatjana Grgic, PHARMD
• Nichole D Grier, MD
• Heather Alise Griffin-Dolciney, LCSW, LCAS, CSI

• Clinical Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.