Angela Chop Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ANGELA CHOP PSYCHOLOGICAL SERVICES

Practice address

6201 Fairview Rd Ste 200#8539
Charlotte, NC 28210-3297

Phone

(980) 288-5219

Fax

(877) 599-4198

NPI assigned

Apr 15, 2022

Organization subpart

No

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

Authorized official

Name

Angela Bean Chop, PSYDNPI 1679727226

Title

Owner

Phone

(980) 288-5219

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Angela Bean Chop, PSYD

  • Counselor
  • Charlotte, NC
  • NPI 1679727226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1093458226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 PLANTERS RIDGE DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280561682",
            "telephone_number": "980-288-5219",
            "fax_number": "877-599-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 FAIRVIEW RD STE 200#8539",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103297",
            "telephone_number": "980-288-5219",
            "fax_number": "877-599-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA CHOP PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "CHOP",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "BEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-288-5219",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.