Stephanie Ann Canada, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3311 Issued in NC

Practice address

1530 N Gregson St
Suite 3a
Durham, NC 27701-1155

Phone

(919) 416-1830

Fax

(919) 416-8883

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Gilfort, Atkinson & Associates

  • Clinical Psychologist
  • Durham, NC
  • NPI 1407857816
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992871685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAHONE ST",
            "address_2": "APT # 7",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138929",
            "telephone_number": "312-203-3676",
            "fax_number": "919-416-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N GREGSON ST",
            "address_2": "SUITE 3A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011155",
            "telephone_number": "919-416-1830",
            "fax_number": "919-416-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADA",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Campbell, LCSW
• Sherrell Faith Campbell, PMHNP, PMHCS, BC
• Hailey Michel Camper
• Dulce Campos Chavez
• Vanesa Esther Campos
• Chloe Elizabeth Canady, LCSW
• Victoria Cancel
• Candace B. Harris, MSW, LCSW, PLLC
• Bora Candir, MD
• Candlesticks Family Care Home

• All providers in Durham, NC
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.