Active NPI
Aurelie Welterlin, PSYD, BCBA-D
- Clinical Psychologist
- Cary, NC
National Provider Identifier
1891024634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 102873
- Practice address
- 1100 NW Maynard Rd Ste 140
Cary, NC 27513-8707 - Phone
- (919) 428-2766
- NPI assigned
- Dec 7, 2009
- Last updated
- Oct 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 102873 | NC | Primary |
| Behavior Analyst | 103K00000X | 1084238 | NJ |
Addresses
Primary practice location
1100 NW Maynard Rd Ste 140
Cary, NC 27513-8707
Mailing address
3209 Yorktown Ave
Durham, NC 27713-3454
Phone (919) 213-9845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1084238 | NJ | MD | Behavioral Analyst |
| 4039 | NC | MD | Chiropractor |
| 102873 | NC | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381017600000",
"number": "1891024634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 YORKTOWN AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277133454",
"telephone_number": "919-213-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NW MAYNARD RD STE 140",
"city": "CARY",
"state": "NC",
"postal_code": "275138707",
"telephone_number": "919-428-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTERLIN",
"first_name": "AURELIE",
"credential": "PSYD, BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2013-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "102873",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1084238",
"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 Oct 6, 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.