Active NPI
Karli Noel Cespedes, PSYD
- Psychologist
- Fuquay Varina, NC
National Provider Identifier
1114570447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- PO Box 1223
Fuquay Varina, NC 27526-1223 - Phone
- (213) 534-8336
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | CA | ||
| Psychologist | 103T00000X | NC | Primary |
Addresses
Primary practice location
PO Box 1223
Fuquay Varina, NC 27526-1223
Mailing address
PO Box 1223
Fuquay Varina, NC 27526-1223
Phone (702) 278-3773
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Other practice location 2
505 N Euclid St Ste 300
Anaheim, CA 92801-5514
Phone (714) 871-5646
Other practice location 3
1000 Veteran Ave
Los Angeles, CA 90024
Phone (702) 278-3773
Other practice location 4
1117 DeLay St
Brea, CA 92821-1913
Phone (702) 278-3773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114570447 | Medicaid | NC |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Anaheim, CA
- NPI 1770617987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1114570447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1223",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261223",
"telephone_number": "702-278-3773",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1223",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261223",
"telephone_number": "213-534-8336"
}
],
"practiceLocations": [
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 N Euclid St Ste 300",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928015514",
"country_code": "US",
"telephone_number": "714-871-5646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Veteran Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90024",
"country_code": "US",
"telephone_number": "702-278-3773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1117 DeLay St",
"address_purpose": "LOCATION",
"city": "Brea",
"state": "CA",
"postal_code": "928211913",
"country_code": "US",
"telephone_number": "702-278-3773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CESPEDES",
"first_name": "KARLI",
"middle_name": "NOEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114570447",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.