Individual provider Active NPI

Crista Wetherington Donewar, PH.D.

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1902075245
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5546 Issued in NC
Practice address
1829 E Franklin St Ste 900a
Chapel Hill, NC 27514-5869
Phone
(919) 583-6425
NPI assigned
Feb 20, 2008
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5546 NC Primary

Addresses

Primary practice location

1829 E Franklin St Ste 900a
Chapel Hill, NC 27514-5869

Mailing address

1829 E Franklin St Ste 900a
Chapel Hill, NC 27514-5869
Phone (919) 583-6425

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 8, 2025 through Jan 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5546NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1902075245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 900A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145869",
            "telephone_number": "919-583-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 900A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145869",
            "telephone_number": "919-583-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONEWAR",
        "first_name": "CRISTA",
        "middle_name": "WETHERINGTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.