Individual provider Active NPI

Lonnie Bryce Sarnell

  • Clinical Psychologist
  • Apex, NC
National Provider Identifier
1023443744
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6328 Issued in NC
Practice address
7313 Cateswood CT
Apex, NC 27539-9387
Phone
(973) 615-3512
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019859 PA
Clinical Psychologist 103TC0700X 020141 NY
Clinical Psychologist 103TC0700X 35SI00545000 NJ
Exercise & Sports Psychologist 103TE1100X 6328 NC
Clinical Psychologist 103TC0700X 6328 NC Primary

Addresses

Primary practice location

7313 Cateswood CT
Apex, NC 27539-9387

Mailing address

7313 Cateswood CT
Apex, NC 27539-9387
Phone (973) 615-3512

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35SI00545000NJMDClinical Psychologist
PS019859PAMDClinical Psychologist
020141NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Sport Psychology PLLC Clinical CurrentSince Sep 17, 2023 Accepting new patients

Locations

600 Park Offices Dr
Ste 30031
Durham, NC 27713

600 Park Offices Dr
Ste 300
Durham, NC 27713
Phone (919) 260-3260

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1023443744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 CATESWOOD CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275399387",
            "telephone_number": "973-615-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 CATESWOOD CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275399387",
            "telephone_number": "973-615-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNELL",
        "first_name": "LONNIE",
        "middle_name": "BRYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-03-17",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019859",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020141",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00545000",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NC",
            "license": "6328",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.