Individual provider Active NPI

Emily Jobe, PH.D.

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1780420166
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6411 Issued in NC
Practice address
5401 Six Forks Rd Ste 200
Raleigh, NC 27609-4462
Phone
(919) 886-4052
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6411 NC Primary

Addresses

Primary practice location

5401 Six Forks Rd Ste 200
Raleigh, NC 27609-4462

Mailing address

5401 Six Forks Rd Ste 200
Raleigh, NC 27609-4462

Other practice location 1

137 E Franklin St Ste 630
Chapel Hill, NC 27514-3620
Phone (919) 886-4052 ext. 728

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6411NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Third Wave Psychotherapy, PLLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

5401 Six Forks Rd
Ste 200
Raleigh, NC 27609
Phone (919) 704-8449

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1780420166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SIX FORKS RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SIX FORKS RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094462",
            "telephone_number": "919-886-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 E Franklin St Ste 630",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275143620",
            "country_code": "US",
            "telephone_number": "919-886-4052 x728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOBE",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2025; 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.