Chasity K Adams, PSY.D.
Individual provider Active NPI Clinical Psychologist · Charlotte, NC
NPI 1154589695 · NPPES record last updated May 31, 2008
Key facts
- NPI
- 1154589695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3569 (NC)
- Practice address
- 4425 Randolph Rd
Suite 411
Charlotte, NC 28211-2351 - Phone
- (704) 430-8455
- NPI assigned
- May 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3569 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3569 | NC | Yes |
Addresses
Primary practice location
4425 Randolph Rd
Suite 411
Charlotte, NC 28211-2351
Mailing address
9851 Edinburgh LN
Charlotte, NC 28269-6931
Phone (704) 430-8455
Other providers in Charlotte, NC
- Shannon Lashelle Adams-McDowell
- Alexandra Adams
- Aubrey N Adams
- Bryan C. Adams
- Cayla Richelle Adams
- Christine Noel Adams
- Dekevis Lamar Adams
- Iyana L Adams
- Jabari Adams
- John C Adams
All providers in Charlotte, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.