Active NPI
Courtney Mitchell Sauter
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1932584851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4767
- Practice address
- 606 Wade Ave
Suite 100
Raleigh, NC 27605-1390 - Phone
- (919) 443-2360
- NPI assigned
- Jul 21, 2015
- Last updated
- Aug 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4767 | NC | Primary |
Addresses
Primary practice location
606 Wade Ave
Suite 100
Raleigh, NC 27605-1390
Mailing address
606 Wade Ave
Suite 100
Raleigh, NC 27605-1390
Phone (919) 443-2360
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4767 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1932584851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 WADE AVE",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051390",
"telephone_number": "919-443-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 WADE AVE",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051390",
"telephone_number": "919-443-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUTER",
"first_name": "COURTNEY",
"middle_name": "MITCHELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.