NPIMap

Organization Active NPI

Bull City Psychotherapy, PLLC

  • Professional Counselor
  • Durham, NC
National Provider Identifier
1851842694
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3539 Issued in NC
Legal business name
BULL CITY PSYCHOTHERAPY, PLLC
Practice address
1816 Front St Ste 250
Durham, NC 27705-2598
Phone
(919) 382-0288
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Sophia Dorton Caudle, PHD, LPC-SNPI 1851533061
Title
Owner/Clinical Director
Phone
(919) 698-7061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3539 NC Primary

Addresses

Primary practice location

1816 Front St Ste 250
Durham, NC 27705-2598

Mailing address

1816 Front St Ste 250
Durham, NC 27705-2598
Phone (919) 382-0288

National Provider Directory

National Provider Directory

Locations

1816 Front St
Ste 250
Durham, NC 27705
Phone (803) 360-0621

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1851842694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 FRONT ST STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052598",
            "telephone_number": "919-382-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 FRONT ST STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052598",
            "telephone_number": "919-382-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULL CITY PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CAUDLE",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "DORTON",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-698-7061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3539",
            "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 Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.