Organization Active NPI

Psychological Assessment and Treatment Specialists PLLC

  • Clinical Neuropsychologist
  • Greenville, NC
National Provider Identifier
1003644683
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
PSYCHOLOGICAL ASSESSMENT AND TREATMENT SPECIALISTS PLLC
Practice address
1103 Corporate Dr Ste B
Greenville, NC 27858-5968
Phone
(252) 320-9398
Fax
(252) 351-3013
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Melissa I Phillips, PH.D.
Title
Owner
Phone
(252) 320-9398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

1103 Corporate Dr Ste B
Greenville, NC 27858-5968

Mailing address

1103 Corporate Dr Ste B
Greenville, NC 27858-5968
Phone (252) 320-9398

National Provider Directory

National Provider Directory

Locations

1103 Corporate Dr
#B
Greenville, NC 27858
Phone (252) 320-9398

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1003644683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CORPORATE DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585968",
            "telephone_number": "252-320-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CORPORATE DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585968",
            "telephone_number": "252-320-9398",
            "fax_number": "252-351-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT AND TREATMENT SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-320-9398",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.