Lake Norman Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LAKE NORMAN PSYCHOLOGICAL SERVICES PLLC

Practice address

9820 Northcross Center CT Ste 210
Huntersville, NC 28078-7356

Phone

(704) 677-2652

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer L SadoffNPI 1851332910

Title

Owner

Phone

(704) 677-2652

Specialties & licenses 1

Addresses

Other names 1

• Lake Norman Psychological Services PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Jennifer Lynn Sadoff, PH.D.

  • Clinical Psychologist
  • Huntersville, NC
  • NPI 1851332910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1114665916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 NORTHCROSS CENTER CT STE 210",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787356",
            "telephone_number": "704-677-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 NORTHCROSS CENTER CT STE 210",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787356",
            "telephone_number": "704-677-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "SADOFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-677-2652"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Norman Psychological Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Norman Psychological Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Lahart
• Lake Norman Community Health Clinic
• Lake Norman Mind and Body Connection PLLC
• Lake Norman Nutrition Associates, LLC
• Lake Norman Plastic Surgery, PLLC
• Lake Norman Treatment Associates, LLC
• Josephine H Lake, MD
• Lakeshore Counseling and Coaching
• Lakeside Health & Rehab Center, LLC
• Lakeside Pharmacy LLC

• Clinical Psychologist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.