Organization Active NPI

SCN Psyhological and Consulting Services LLC

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1114297041
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0271 Issued in NC
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

Updated by the provider on Jan 10, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0271OtherNCLICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.