Individual provider Active NPI

Erin Clevenger, PH.D.

  • Psychologist
  • Cary, NC
National Provider Identifier
1831581180
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
103091 Issued in NC
Practice address
1120 SE Cary Pkwy
Suite 201
Cary, NC 27518-7413
Phone
(919) 600-4906
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 103091 NC Primary
Clinical Psychologist 103TC0700X 06934 MD
Clinical Psychologist 103TC0700X 4771 NC

Addresses

Primary practice location

1120 SE Cary Pkwy
Suite 201
Cary, NC 27518-7413

Mailing address

1120 SE Cary Pkwy
Suite 201
Cary, NC 27518-7413
Phone (919) 600-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, CO, GA, TX5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20191203002728 NC Practitioner - Clinical Psychologist 2668805755 Reassigns benefits to 2 organizations
I20230515003295 IL Practitioner - Clinical Psychologist 2668805755 Reassigns benefits to 1 organization
I20230516000149 CO Practitioner - Clinical Psychologist 2668805755 Reassigns benefits to 1 organization
I20230531003704 GA Practitioner - Clinical Psychologist 2668805755 Reassigns benefits to 1 organization
I20230601000750 TX Practitioner - Clinical Psychologist 2668805755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Florida State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical of New Jersey PCGroup PAC ID 5799141750, 61 clinicians
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

3064 Wake Forest Rd
Suite 1271
Raleigh, NC 27609-7844
Phone (415) 360-3348

3117 Whiting Ave
Suite 5
Charlotte, NC 28205-1648
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
103091NCMDPsychologist
8817NCMDOccupational Therapy Assistant
4771NCMDOccupational Therapist
06934MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical of Michigan PC CurrentSince Apr 1, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince Jan 30, 2023 Accepting new patients
Brightside Medical, P.a. CurrentSince Jan 1, 2023 Accepting new patients
Etheridge Psychology, P.a. Psychologist Past Accepting new patients
Brightside Health, Inc. PastSince Mar 1, 2025 Accepting new patients

Locations

3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

2299 Summer St
Stamford, CT 06905

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

8059 W Preece Dr
Boise, ID 83704
Phone (208) 550-3112

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

4925 S Broadway Ave
Wichita, KS 67216
Phone (316) 227-1989

1303 US Highway 127 S
Ste 104
Frankfort, KY 40601

5835 York Rd
Baltimore, MD 21212
Phone (410) 204-4541

159 Frontage Rd
Manchester, NH 03103
Phone (800) 604-3994

3172 N Rainbow Blvd
Las Vegas, NV 89108
Phone (702) 542-2277

4464 Devine St
Ste M
Columbia, SC 29205
Phone (803) 386-7146

8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

3804 Wilson Blvd
#1318
Arlington, VA 22203

777 N Jefferson St
Ste 408
Milwaukee, WI 53202
Phone (414) 367-8494

Organizations & group practices 7

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1831581180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SE CARY PKWY",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187413",
            "telephone_number": "919-600-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SE CARY PKWY",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187413",
            "telephone_number": "919-600-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "103091",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06934",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.