Phil Franklin Icard II, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3846 Issued in NC

Practice address

344 Rolling Hill Rd Ste 105
Mooresville, NC 28117

Phone

(704) 662-5459

Fax

(704) 663-2554

NPI assigned

Feb 24, 2010

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Solutions of Lake Norman, PLLC

  • Psychologist
  • Mooresville, NC
  • NPI 1285982413
  NPD Authorized official

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1184946733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ROLLING HILL RD STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176865",
            "telephone_number": "704-662-5459",
            "fax_number": "704-663-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 ROLLING HILL RD STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-662-5459",
            "fax_number": "704-663-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICARD",
        "first_name": "PHIL",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cowan Hutcheson, LCSW
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• Marissa Carol Hyatt, AGACNP-BC
• Imf2, Inc. (In Motion Fitness Physical Therapy Associates)
• Eva A Imperial, MD
• Independent Nephrology Services, Inc. (INS - Iredell County)
• Indx Solutions, PLLC
• Inland Sea Inpatient Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.