Active NPI
Eric E Sipe, LPA
- Clinical Psychologist
- Hickory, NC
National Provider Identifier
1932238417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1156
- Practice address
- 3050 11TH Avenue Dr SE
Hickory, NC 28602-8336 - Phone
- (828) 695-5900
- Fax
- (828) 695-4256
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1156 | NC | Primary |
Addresses
Primary practice location
3050 11TH Avenue Dr SE
Hickory, NC 28602-8336
Mailing address
PO Box 788
Maiden, NC 28650-0788
Phone (828) 695-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140GR | Other | NC | BCBS OF NC |
| 6107253 | Medicaid | NC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932238417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "MAIDEN",
"state": "NC",
"postal_code": "286500788",
"telephone_number": "828-695-5900",
"fax_number": "828-695-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 11TH AVENUE DR SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028336",
"telephone_number": "828-695-5900",
"fax_number": "828-695-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPE",
"first_name": "ERIC",
"middle_name": "E",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "140GR",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107253",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.