Active NPI
Margaret L Inman Conrad, PH.D.
- Clinical Psychologist
- Wake Forest, NC
National Provider Identifier
1821073354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3058
- Practice address
- 104 S White St
Ste 204
Wake Forest, NC 27587-2773 - Phone
- (919) 562-8088
- Fax
- (919) 562-8088
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3058 | NC | Primary |
Addresses
Primary practice location
104 S White St
Ste 204
Wake Forest, NC 27587-2773
Mailing address
104 S White St
Ste 204
Wake Forest, NC 27587-2773
Phone (919) 562-8088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000638 | Medicaid | NC | |
| 046K6 | Other | NC | BLUE CROSS BLUE SHIELD ID |
Other names 1
- M. Lori Inman Conrad
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821073354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S WHITE ST",
"address_2": "STE 204",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872773",
"telephone_number": "919-562-8088",
"fax_number": "919-562-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S WHITE ST",
"address_2": "STE 204",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872773",
"telephone_number": "919-562-8088",
"fax_number": "919-562-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN CONRAD",
"first_name": "MARGARET",
"middle_name": "L",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000638",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "046K6",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M.",
"last_name": "INMAN CONRAD",
"middle_name": "LORI",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.