Active NPI
Heather Bergida Thurston, PH.D
- Clinical Psychologist
- Cary, NC
National Provider Identifier
1821252735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3491
- Practice address
- 300 Ashville Ave
Suite 240
Cary, NC 27518-8682 - Phone
- (919) 415-1795
- Fax
- (919) 415-1795
- NPI assigned
- Jul 10, 2008
- 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 | 3491 | NC | Primary |
Addresses
Primary practice location
300 Ashville Ave
Suite 240
Cary, NC 27518-8682
Mailing address
300 Ashville Ave
Suite 240
Cary, NC 27518-8682
Phone (919) 415-1795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 1, 2021 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3491 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1821252735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ASHVILLE AVE",
"address_2": "SUITE 240",
"city": "CARY",
"state": "NC",
"postal_code": "275188682",
"telephone_number": "919-415-1795",
"fax_number": "919-415-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ASHVILLE AVE",
"address_2": "SUITE 240",
"city": "CARY",
"state": "NC",
"postal_code": "275188682",
"telephone_number": "919-415-1795",
"fax_number": "919-415-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURSTON",
"first_name": "HEATHER",
"middle_name": "BERGIDA",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.