Individual provider Active NPI

Ralph Andrew Tamayo, LPA

  • Psychologist
  • Concord, NC
National Provider Identifier
1124514757
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5370 Issued in NC
Practice address
2324 Concord Lake Rd
Concord, NC 28025-2814
Phone
(704) 829-1343
NPI assigned
Jul 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 5370 NC
Psychologist 103T00000X 5370 NC Primary

Addresses

Primary practice location

2324 Concord Lake Rd
Concord, NC 28025-2814

Mailing address

West Counseling, 2324 Concord Lake Rd
Concord, NC 28025-6936
Phone (910) 337-8618

Other practice location 1

9401 Arrowpoint Blvd
Charlotte, NC 28273-8166
Phone (704) 426-3353

Other names 1

  • Ralph Andrew Roman Bermejo Tamayo Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5370NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1124514757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEST COUNSELING, 2324 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280256936",
            "telephone_number": "910-337-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252814",
            "telephone_number": "704-829-1343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Arrowpoint Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282738166",
            "country_code": "US",
            "telephone_number": "704-426-3353",
            "fax_number": "980-392-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "RALPH",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "5370",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH ANDREW ROMAN",
            "last_name": "TAMAYO",
            "middle_name": "BERMEJO",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.