Individual provider Active NPI

Edward E Hughes, LPA

  • Clinical Psychologist
  • Gastonia, NC
National Provider Identifier
1114058500
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1900 Issued in NC
Practice address
1307 Union Rd Ste 105
Gastonia, NC 28054-5694
Phone
(704) 879-9273
Fax
(562) 286-5236
NPI assigned
Mar 8, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 1900 NC Primary

Addresses

Primary practice location

1307 Union Rd Ste 105
Gastonia, NC 28054-5694

Mailing address

1307 Union Rd Ste 105
Gastonia, NC 28054-5694
Phone (704) 879-9273

Other practice location 1

8716 Londonshire Dr
Charlotte, NC 28216-1660
Phone (704) 661-9833

Other practice location 2

8716 Londonshire Dr
Charlotte, NC 28216-1660
Phone (704) 661-9833

Other identifiers 1

IdentifierTypeStateIssuer
6107451MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
1900NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hughes Behavioral and Mental Health Services Inc. Past Accepting new patients
Hughes Behavioral and Mental Health Services Inc. Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114058500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 UNION RD STE 105",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545694",
            "telephone_number": "704-879-9273",
            "fax_number": "562-286-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 UNION RD STE 105",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545694",
            "telephone_number": "704-879-9273",
            "fax_number": "562-286-5236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8716 Londonshire Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282161660",
            "country_code": "US",
            "telephone_number": "704-661-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8716 Londonshire Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282161660",
            "country_code": "US",
            "telephone_number": "704-661-9833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.