Individual provider Active NPI

Anna Elizabeth Craig, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Durham, NC
National Provider Identifier
1891248795
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
4513 Issued in NC
Practice address
20 W Colony PL Ste 230
Durham, NC 27705-5577
Phone
(919) 684-3156
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4513 NC
Clinical Child & Adolescent Psychologist 103TC2200X 4513 NC Primary

Addresses

Primary practice location

20 W Colony PL Ste 230
Durham, NC 27705-5577

Mailing address

20 W Colony PL Ste 230
Durham, NC 27705-5577
Phone (919) 684-3156

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4513NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Elizabeth Craig PHD Clinical Psychologist CurrentSince Feb 1, 2023 Accepting new patients

Locations

20 W Colony Pl
Ste 230
Durham, NC 27705
Phone (919) 684-3156

3500 Westgate Dr
Ste 900
Durham, NC 27707
Phone (516) 880-4536

Organizations & group practices 1

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1891248795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W COLONY PL STE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055577",
            "telephone_number": "919-684-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W COLONY PL STE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055577",
            "telephone_number": "919-684-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "4513",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "4513",
            "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 Jan 22, 2020; 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.