Active NPI
Griffin Pollock Sutton, PH.D.
- Clinical Neuropsychologist
- Hampstead, NC
National Provider Identifier
1992100465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 4633
- Practice address
- 19 S Hampstead Village Dr
Hampstead, NC 28443-3934 - Phone
- (910) 803-1434
- Fax
- (855) 672-7002
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4633 | NC | Primary |
| Clinical Psychologist | 103TC0700X | 4633 | NC |
Addresses
Primary practice location
19 S Hampstead Village Dr
Hampstead, NC 28443-3934
Mailing address
PO Box 970
Hampstead, NC 28443-0970
Phone (910) 803-1434
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 |
|---|---|---|---|
| 4633 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1992100465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 970",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284430970",
"telephone_number": "910-803-1434",
"fax_number": "855-672-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 S HAMPSTEAD VILLAGE DR",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433934",
"telephone_number": "910-803-1434",
"fax_number": "855-672-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "GRIFFIN",
"middle_name": "POLLOCK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NC",
"license": "4633",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampstead, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.