Active NPI
Chelsea Menard, MA SSP
- Psychologist
- Charlotte, NC
National Provider Identifier
1033924493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6710
- Practice address
- 4012 Park Rd Ste 200
Charlotte, NC 28209-2378 - Phone
- (704) 332-4834
- NPI assigned
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6710 | NC | Primary |
Addresses
Primary practice location
4012 Park Rd Ste 200
Charlotte, NC 28209-2378
Mailing address
4012 Park Rd Ste 200
Charlotte, NC 28209-2378
Phone (704) 332-4834
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6710 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Development Inc. | Past | Accepting new patients |
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.
-
- Clinical Child & Adolescent Psychologist
- Charlotte, NC
- NPI 1871697888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1033924493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 PARK RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092378",
"telephone_number": "704-332-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 PARK RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092378",
"telephone_number": "704-332-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "CHELSEA",
"credential": "MA SSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "6710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.