Northridge Psychological Service PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1417 Issued in NC

Legal business name

NORTHRIDGE PSYCHOLOGICAL SERVICE PC

Practice address

2301 Stonehenge Dr Ste 202
Raleigh, NC 27615-4378

Phone

(919) 847-2197

Fax

(919) 846-7748

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

James Thomas English, PHDNPI 1871520270

Title

Owner

Phone

(919) 847-2197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• James Thomas English, PH.D.

  • Counseling Psychologist
  • Raleigh, NC
  • NPI 1871520270
  Medicare reassignment Authorized official
• Catherine Lynne Atchison, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1891749545
  NPD (past)
• Beverly June Hicks, M.D., LPC

  • Marriage & Family Therapist
  • Raleigh, NC
  • NPI 1336139302
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1114127024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 STONEHENGE DR STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154378",
            "telephone_number": "919-847-2197",
            "fax_number": "919-846-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 STONEHENGE DR STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154378",
            "telephone_number": "919-847-2197",
            "fax_number": "919-846-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE PSYCHOLOGICAL SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-847-2197",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Northcutt, RPH
• Sheridan Northcutt
• Northeastern Human Services
• Northgate Medical Supplies, Inc
• Northland Hearing Center, Inc. (Audibel)
• Christine Northrup
• Northstar Care Group LLC
• Northstar Therapy Services PLLC
• Alexis F Norton, CPNP
• Betty J Norton, RN

• Adult Mental Health Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.