Active NPI
SCN Psyhological and Consulting Services LLC
- Adult Mental Health Clinic/Center
- Charlotte, NC
National Provider Identifier
1114297041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 0271
- Legal business name
- SCN PSYHOLOGICAL AND CONSULTING SERVICES LLC
- Practice address
- 6729 Fairview Rd Ste D
Charlotte, NC 28210-0127 - Phone
- (704) 442-9111
- Fax
- (704) 442-0021
- NPI assigned
- Jan 10, 2012
- 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
- Dr. Stephen B. Bondy, PH.D
- Title
- Licensed Psychologist
- Phone
- (704) 442-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 0271 | NC | Primary |
Addresses
Primary practice location
6729 Fairview Rd Ste D
Charlotte, NC 28210-0127
Mailing address
6729 Fairview Rd Ste D
Charlotte, NC 28210-0127
Phone (704) 442-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0271 | Other | NC | LICENSE |
National Provider Directory
National Provider DirectoryLocations
6729 Fairview Rd
Ste D
Charlotte, NC 28210
Phone (704) 442-9111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326153600000",
"number": "1114297041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6729 FAIRVIEW RD STE D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100127",
"telephone_number": "704-442-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6729 FAIRVIEW RD STE D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100127",
"telephone_number": "704-442-9111",
"fax_number": "704-442-0021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCN PSYHOLOGICAL AND CONSULTING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A",
"authorized_official_last_name": "BONDY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "704-442-9111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NC",
"license": "0271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0271",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.