Kidscare Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KIDSCARE PSYCHOLOGICAL SERVICES, PLLC

Practice address

11440 US 70 Bus Hwy W
Clayton, NC 27520-2208

Phone

(984) 218-2995

Fax

(919) 243-0035

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Amber Bates Fleming, MA, LPA, HSP-PANPI 1518584986

Title

Licensed Psychological Associate

Phone

(984) 989-7520

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Bates Fleming, MA, LPA

  • Clinical Child & Adolescent Psychologist
  • Raleigh, NC
  • NPI 1518584986
  Authorized official Same address or phone

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1114749587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 US 70 BUS HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202208",
            "telephone_number": "984-218-2995",
            "fax_number": "919-243-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 US 70 BUS HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202208",
            "telephone_number": "984-218-2995",
            "fax_number": "919-243-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCARE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "BATES",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGICAL ASSOCIATE",
        "authorized_official_telephone_number": "984-989-7520",
        "authorized_official_credential": "MA, LPA, HSP-PA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Nikia Khalik, PMHNP-BC, MSN, RN
• Michael Maher Fahmy Khalil
• Mazen Khusayem, MD
• Kidcom, L.L.C.
• Kids R US Therapy
• Bo-Kyung Kim, PA-C
• Benee Allen King, AUD
• Bradley Christopher Kleinert, PA-C
• KMG Holdings, Inc. (The Lighthouse)
• Amanda Dawn Knotts, LBA

• Psychologist in Clayton, NC
• Providers in Clayton, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.