Active NPI
Letonya Love
- Cognitive & Behavioral Psychologist
- Durham, NC
National Provider Identifier
1821196270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 2499
- Practice address
- 5720 Fayetteville Rd
Durham, NC 27713-9089 - Phone
- (919) 484-9931
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 2499 | NC | Primary |
Addresses
Primary practice location
5720 Fayetteville Rd
Durham, NC 27713-9089
Mailing address
1415 W NC Highway 54
Suite 101
Durham, NC 27707-5577
Phone (919) 402-0120
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 |
|---|---|---|---|
| 2499 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Development Corporation of America | Past | Accepting new patients | |
| Youth Development Corporation of America | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Caring Family Network
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1275674491
-
dba Caring Family Network
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1629023569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821196270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 W NC HIGHWAY 54",
"address_2": "SUITE 101",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075577",
"telephone_number": "919-402-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 FAYETTEVILLE RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139089",
"telephone_number": "919-484-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "LETONYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "2499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.