Active NPI
Vaibhav Sapuram, LPA, HSP-PA
- Psychologist
- Greensboro, NC
National Provider Identifier
1942774021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5464
- Practice address
- 1100 W Market St
Greensboro, NC 27403-1830 - Phone
- (336) 334-5662
- NPI assigned
- Jan 11, 2019
- Last updated
- May 15, 2019
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5464 | NC | Primary |
Addresses
Primary practice location
1100 W Market St
Greensboro, NC 27403-1830
Mailing address
2205 New Garden Rd Apt 4617
Greensboro, NC 27410-1757
Phone (512) 850-3541
Other practice location 1
4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-6099
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1942774021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 NEW GARDEN RD APT 4617",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274101757",
"telephone_number": "512-850-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031830",
"telephone_number": "336-334-5662"
}
],
"practiceLocations": [
{
"address_1": "4614 Country Club Rd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271043520",
"country_code": "US",
"telephone_number": "336-716-6099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAPURAM",
"first_name": "VAIBHAV",
"credential": "LPA, HSP-PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-11",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.