Organization Active NPI

Whichard Psychological Services, PLLC

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1053754135
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2897 Issued in NC
Legal business name
WHICHARD PSYCHOLOGICAL SERVICES, PLLC
Practice address
509 Rock Garden Rd
Chapel Hill, NC 27516-5988
Phone
(919) 623-1448
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Susan Michelle Whichard, PHD
Title
Psychologist
Phone
(919) 623-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2897 NC Primary

Addresses

Primary practice location

509 Rock Garden Rd
Chapel Hill, NC 27516-5988

Mailing address

509 Rock Garden Rd
Chapel Hill, NC 27516-5988
Phone (919) 623-1448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1053754135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ROCK GARDEN RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165988",
            "telephone_number": "919-623-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ROCK GARDEN RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165988",
            "telephone_number": "919-623-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHICHARD PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "WHICHARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-623-1448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.