Active NPI
Erin Clevenger, PH.D.
- Psychologist
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 103091
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103091 | NC | MD | Psychologist |
| 8817 | NC | MD | Occupational Therapy Assistant |
| 4771 | NC | MD | Occupational Therapist |
| 06934 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical of Michigan PC | Current | Accepting new patients | |
| Brightside Medical, P.C. | Current | Accepting new patients | |
| Brightside Medical, P.a. | Current | Accepting new patients | |
| Etheridge Psychology, P.a. | Psychologist | Past | Accepting new patients |
| Brightside Health, Inc. | Past | 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.
-
- Psychologist
- Cary, NC
- NPI 1275820144
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1073072658
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.