Individual provider Active NPI

Karli Noel Cespedes, PSYD

  • Psychologist
  • Fuquay Varina, NC
National Provider Identifier
1114570447
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1114570447MedicaidNC

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

OrganizationSpecialtyStatusNew patients
Western Youth Services PastSince Sep 1, 2020 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.

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.

Verify at the official NPI Registry.