Harry Todd Enderlin, MD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

103563 Issued in NC

Practice address

101 Manning Dr
Chapel Hill, NC 27514-4220

Phone

(919) 966-7890

Fax

(919) 966-9533

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: henderlin993777@direct.unc.nchie.net

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.

• Caldwell Memorial Hospital, Inc

  • Cardiovascular Disease Physician
  • Lenoir, NC
  • NPI 1477839108
  Medicare reassignment NPD
• University of North Carolina at Chapel Hill

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200
  Medicare reassignment NPD
• Caldwell Memorial Hospital Inc.

  • Diagnostic Radiology Physician
  • Lenoir, NC
  • NPI 1255221180
  NPD
• Caldwell Memorial Hospital, Inc.

  • Psychiatry Physician
  • Lenoir, NC
  • NPI 1538783915
  NPD
• Park Ophthalmology

  • Ophthalmology Physician
  • Durham, NC
  • NPI 1619150141
  NPD (past)
• University of North Carolina Hospitals at Chapel Hill

  • Psychiatric Hospital Unit
  • Chapel Hill, NC
  • NPI 1427142355
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1770526501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VEAZEY DR",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091668",
            "telephone_number": "919-764-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-966-7890",
            "fax_number": "919-966-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285467238",
            "country_code": "US",
            "telephone_number": "910-577-1400 x2261",
            "fax_number": "910-577-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDERLIN",
        "first_name": "HARRY",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "103563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empower Agency, LLC
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• Kathryn Whittington Enchelmayer, MS, MHSA
• Patrick Henry Ende
• Endurance Unleashed, LLC
• Maryann Elizabeth England, MD
• Emily English, CPNP
• Charleen N Enns, LCSW
• Breanna Isabelle Ensley, LCSWA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.