Azevedo Family Psychology, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AZEVEDO FAMILY PSYCHOLOGY, PA

Practice address

1903 N Harrison Ave Ste 201
Cary, NC 27513-3093

Phone

(919) 624-9561

Fax

(919) 404-7124

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Don Azevedo, PHD

Title

Owner

Phone

(919) 624-9561

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly M Azevedo, LMFTA

  • Marriage & Family Therapist
  • Cary, NC
  • NPI 1316437056
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1811537210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 N HARRISON AVE STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133093",
            "telephone_number": "919-624-9561",
            "fax_number": "919-404-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 N HARRISON AVE STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133093",
            "telephone_number": "919-624-9561",
            "fax_number": "919-404-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZEVEDO FAMILY PSYCHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "AZEVEDO",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-624-9561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Avery, PA-C
• Sage Autumn Aviles
• Renee Mulford-Lewis Avis, LPC
• Ravisankara R Avula
• Aware Senior Care, L.L.C
• Don Fernando Azevedo, PH.D.
• Kimberly M Azevedo, LMFTA
• Wissam Azzam, DDS
• B&B Transit LLC
• Marwa Baali

• Clinical Psychologist in Cary, NC
• Providers in Cary, 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 Jan 14, 2020; 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.