Active NPI
Miranda Stoughton
- School Psychologist
- Leicester, NC
National Provider Identifier
1760115364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 122416
- Practice address
- 38 Goughes Branch Rd
Leicester, NC 28748-5145 - Phone
- (407) 538-3596
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 122416 | NC | Primary |
Addresses
Primary practice location
38 Goughes Branch Rd
Leicester, NC 28748-5145
Mailing address
38 Goughes Branch Rd
Leicester, NC 28748-5145
Phone (407) 538-3596
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122416 | NC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1760115364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 GOUGHES BRANCH RD",
"city": "LEICESTER",
"state": "NC",
"postal_code": "287485145",
"telephone_number": "407-538-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 GOUGHES BRANCH RD",
"city": "LEICESTER",
"state": "NC",
"postal_code": "287485145",
"telephone_number": "407-538-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUGHTON",
"first_name": "MIRANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "122416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leicester, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.