Active NPI
Lotus Care Psychological Services, PLLC
- Clinical Psychologist
- Shannon, NC
National Provider Identifier
1104565407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- LOTUS CARE PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 3988 Balfour Rd
Shannon, NC 28386-9302 - Phone
- (305) 710-1225
- NPI assigned
- Jun 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alina Contino, PSYD
- Title
- Owner
- Phone
- (305) 710-1225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3988 Balfour Rd
Shannon, NC 28386-9302
Mailing address
3988 Balfour Rd
Shannon, NC 28386-9302
Phone (305) 710-1225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221012000466 | NC | Part B Supplier - Clinic/Group Practice | 8022484369 |
Receives reassigned benefits from 4 practitioners Practice locations: Fayetteville, NC |
National Provider Directory
National Provider DirectoryLocations
3013A Raeford Rd
Fayetteville, NC 28303
Phone (910) 483-9001
2521 Raeford Rd
Ste B
Fayetteville, NC 28305
Phone (910) 493-3555
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gastonia, NC
- NPI 1093235137
NC
-
- Mental Health Counselor
- Lumberton, NC
- NPI 1902322795
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1447149810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654214400000",
"number": "1104565407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3988 BALFOUR RD",
"city": "SHANNON",
"state": "NC",
"postal_code": "283869302",
"telephone_number": "305-710-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3988 BALFOUR RD",
"city": "SHANNON",
"state": "NC",
"postal_code": "283869302",
"telephone_number": "305-710-1225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS CARE PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A",
"authorized_official_last_name": "CONTINO",
"authorized_official_first_name": "ALINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-710-1225",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shannon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.