Individual provider Active NPI

Trutina-Maria Spoonamore, PSYD

  • Psychologist
  • Youngsville, NC
National Provider Identifier
1912620089
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6322 Issued in NC
Practice address
1618 US 1 Hwy
Youngsville, NC 27596-9219
Phone
(919) 500-3398
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 6322 NC
Psychologist 103T00000X 6322 NC Primary
Cognitive & Behavioral Psychologist 103TB0200X 6322 NC
Health Service Psychologist 103TH0100X 6322 NC
Intellectual & Developmental Disabilities Psychologist 103TM1800X 6322 NC

Addresses

Primary practice location

1618 US 1 Hwy
Youngsville, NC 27596-9219

Mailing address

300 Southtown Cir
Rolesville, NC 27571-9573
Phone (919) 500-3398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251110003075 NC Practitioner - Clinical Psychologist 5597255216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2006 Wayne Memorial Dr
Goldsboro, NC 27534-1720

300 Southtown Cir
Rolesville, NC 27571-9573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6322NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerful Purpose Psychological & Support Services PLLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

3326 Durham Chapel Hill Blvd
Bldg A
Durham, NC 27707
Phone (919) 500-3398

300 Southtown Cir
Rolesville, NC 27571
Phone (919) 429-8256

1618 US 1 Hwy
Youngsville, NC 27596
Phone (919) 495-0654

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1912620089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTHTOWN CIR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719573",
            "telephone_number": "919-500-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 US 1 HWY",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969219",
            "telephone_number": "919-500-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONAMORE",
        "first_name": "TRUTINA-MARIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "6322",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6322",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "6322",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "6322",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": "6322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, NC

Sources for this page

Verify at the official NPI Registry.