PSYCHOLOGICAL SOLUTIONS OF LAKE NORMAN, PLLC (NPI# 1285982413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285982413 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL SOLUTIONS OF LAKE NORMAN, PLLC |
| Practice Address |
344 Rolling Hill Rd Ste 105 Mooresville NC 28117 |
| Mailing Address |
326 2nd Ave Nw Hickory NC 28601-4944 |
| Practice Telephone | 7046625459 |
| Mailing Telephone | 7046625459 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | MS. CALAH M FAIRCLOTH (PRACTICE MANAGER) |
| Authorized Official Telephone | 7046625459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3846 | NC | Behavioral Health & Social Service Providers |
| Street Address |
344 ROLLING HILL RD STE 105 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184946733 | Phil Franklin Icard II | Psychologist | 344 Rolling Hill Rd Ste 105, Mooresville, NC 28117 | 2010-02-24 |
| 1538632500 | Rigby D Malandrino | Psychologist | 344 Rolling Hill Rd Ste 105, Mooresville, NC 28117-6865 | 2019-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051458 | The Family Advocates | Clinical Neuropsychologist | 1201 Jade Glen Dr, Charlotte, NC 28262-1621 | 2020-10-20 |
| 1780118687 | Thomas Farrer | Clinical Neuropsychologist | 153 Carden Pl Apt C, Mebane, NC 27302-6080 | 2017-04-18 |
| 1891248795 | Anna Elizabeth Craig | Clinical Neuropsychologist | 20 W Colony Pl Ste 230, Durham, NC 27705-5577 | 2016-07-27 |
| 1063890614 | Michelle Jones Cueva | Clinical Neuropsychologist | 2218 Nelson Hwy, Suite 2, Chapel Hill, NC 27517-8923 | 2015-05-15 |
| 1992100465 | Griffin Pollock Sutton | Clinical Neuropsychologist | 19 S Hampstead Village Dr, Hampstead, NC 28443-3934 | 2014-10-27 |
| 1861818874 | Dr. Angela Houser-betti, Psyd, Pllc | Clinical Neuropsychologist | 4425 Randolph Rd Ste 208, Charlotte, NC 28211-2324 | 2014-03-14 |
| 1629499819 | Bay Area Psychology Associates | Clinical Neuropsychologist | 302 Woodberry Pl, Jacksonville, NC 28540-4264 | 2013-12-14 |
| 1790117679 | Kimberly Leon | Clinical Neuropsychologist | 1001 Blythe Blvd Ste 200d, Charlotte, NC 28203-6215 | 2013-08-02 |
| 1811260730 | Silber Psychological Services P.a. | Clinical Neuropsychologist | 1340 Se Maynard Rd, Suite 201, Cary, NC 27511-3632 | 2012-02-23 |
| 1881967222 | Taeh Allison Ward | Clinical Neuropsychologist | 45 Aviemore Dr, Pinehurst, NC 28374-9797 | 2012-02-15 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.