Healthcare Provider Details

I. General information

NPI: 1619829124
Provider Name (Legal Business Name): STILL HARBOR PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

964 HIGH HOUSE RD # 3262
CARY NC
27513-3574
US

IV. Provider business mailing address

964 HIGH HOUSE RD # 3262
CARY NC
27513-3574
US

V. Phone/Fax

Practice location:
  • Phone: 650-383-0146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER HO
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 659-383-0146