Clear Foundations Therapy and Assessment PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CLEAR FOUNDATIONS THERAPY AND ASSESSMENT PLLC

Practice address

5113 Piper Station Dr Ste 104
Charlotte, NC 28277-6652

Phone

(704) 378-8595

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Goodson, MS, LPANPI 1538778584

Title

Psychologist/Owner

Phone

(704) 837-2473

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Goodson, MS, LPA

  • Psychologist
  • Waxhaw, NC
  • NPI 1538778584
  NPD (past) Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1083395339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776652",
            "telephone_number": "704-378-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR FOUNDATIONS THERAPY AND ASSESSMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "GOODSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "704-837-2473",
        "authorized_official_credential": "MS, LPA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey Charles Cleary, MD

• Multi-Specialty Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.