Andrea Laura Kulish-Avery, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6221 Issued in NC

Practice address

2310 S Miami Blvd Ste 135
Durham, NC 27703-5799

Phone

(919) 608-4483

Fax

(919) 294-6534

NPI assigned

Sep 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Strong Start Psychological Services, PLLC

  • Clinical Psychologist
  • Durham, NC
  • NPI 1043916323
  NPD Authorized official
• Ad/HD Clinic at University of North Carolina Greensboro

  • Clinical Psychologist
  • Greensboro, NC
  • NPI 1144528480
  NPD (past)
• Uncg Psychology Clinic

  • Psychologist
  • Greensboro, NC
  • NPI 1023187473
  NPD (past)
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1962951335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 135",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035799",
            "telephone_number": "919-608-4483",
            "fax_number": "919-294-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 135",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035799",
            "telephone_number": "919-608-4483",
            "fax_number": "919-294-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULISH-AVERY",
        "first_name": "ANDREA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06601",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6221",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "06601",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "6221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jeremy Kuhns, PSYD
• Rebecca Adia Kuhns, MD
• Katherine McDaniel Kulenic, FNP-BC
• Cortney Kulers, FNP
• Cheyne Michael Kulessa, DPT
• Deepika Prasad Kulkarni
• Tushar Heman Kulkarni
• Anna Kull, LCSWA
• Jeffrey C. Kulley, PH.D.
• Saule Kulubekova, PH.D.

• Clinical Child & Adolescent Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Child & Adolescent Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.