Active NPI
Susan Stanton, PH.D.
- Clinical Psychologist
- Fort Bragg, NC
National Provider Identifier
1851624365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5257
- Practice address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001 - Phone
- (910) 907-8922
- NPI assigned
- Sep 15, 2009
- Last updated
- May 28, 2025
- 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 | 5257 | NC | |
| Clinical Psychologist | 103TC0700X | PS01140 | RI | |
| Clinical Psychologist | 103TC0700X | 5257 | NC | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Mailing address
2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001
Phone (910) 907-8922
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Other practice location 2
2101 S Ih 35
Ste. 300
Austin, TX 78741-3800
Phone (512) 433-2020
Other practice location 3
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-7326
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01140 | RI | MD | Clinical Psychologist |
| 5257 | NC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1851624365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8922",
"fax_number": "109-076-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8922"
}
],
"practiceLocations": [
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-350-8000",
"fax_number": "919-350-7204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 S Ih 35",
"address_2": "Ste. 300",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787413800",
"country_code": "US",
"telephone_number": "512-433-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Kildaire Farm Rd",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275186616",
"country_code": "US",
"telephone_number": "919-350-7326",
"fax_number": "919-350-7204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANTON",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5257",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01140",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.