NPIMap

Organization Active NPI

Tarboro Pediatric Psychology PLLC

  • Clinical Psychologist
  • Tarboro, NC
National Provider Identifier
1992003537
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2884 Issued in NC
Legal business name
TARBORO PEDIATRIC PSYCHOLOGY PLLC
Practice address
511 Saint Andrew St
Tarboro, NC 27886-4434
Phone
(252) 823-6187
Fax
(252) 641-0715
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Eleanor Paige Temple, PH.D.NPI 1154378313
Title
Clinical Psychologist/Owner
Phone
(252) 823-6187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2884 NC Primary

Addresses

Primary practice location

511 Saint Andrew St
Tarboro, NC 27886-4434

Mailing address

PO Box 613
Tarboro, NC 27886-0613
Phone (252) 823-6187

Other identifiers 1

IdentifierTypeStateIssuer
6000462MedicaidNC

Other names 1

  • Paige Temple LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1992003537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278860613",
            "telephone_number": "252-823-6187",
            "fax_number": "252-641-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864434",
            "telephone_number": "252-823-6187",
            "fax_number": "252-641-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO PEDIATRIC PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "252-823-6187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paige Temple LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.