Active NPI
Elizabeth Brearley Parker, PH.D.
- Clinical Psychologist
- Charlotte,, NC
National Provider Identifier
1164510335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0343
- Practice address
- 3335 Knob Hill CT.
Charlotte,, NC 28210-6407 - Phone
- (704) 556-7645
- Fax
- (704) 365-9256
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 343 | NC | |
| Marriage & Family Therapist | 106H00000X | 113 | NC | |
| Clinical Psychologist | 103TC0700X | 0343 | NC | Primary |
| Marriage & Family Therapist | 106H00000X | 133 | NC |
Addresses
Primary practice location
3335 Knob Hill CT.
Charlotte,, NC 28210-6407
Mailing address
3335 Knob Hill CT.
Charlotte,, NC 28210-6407
Phone (704) 556-7645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03158 | Other | NC | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133 | NC | MD | Marriage & Family Therapist |
| 113 | NC | MD | Acupuncturist |
| 343 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1164510335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3335 KNOB HILL CT.",
"city": "CHARLOTTE,",
"state": "NC",
"postal_code": "282106407",
"telephone_number": "704-556-7645",
"fax_number": "704-365-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3335 KNOB HILL CT.",
"city": "CHARLOTTE,",
"state": "NC",
"postal_code": "282106407",
"telephone_number": "704-556-7645",
"fax_number": "704-365-9256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "ELIZABETH",
"middle_name": "BREARLEY",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "343",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "113",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0343",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "133",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03158",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte,, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.