Collier Psychological Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2538 Issued in NC

Legal business name

COLLIER PSYCHOLOGICAL SERVICES, P.C.

Practice address

8015 W Kenton Cir
Suite 150
Huntersville, NC 28078-4850

Phone

(704) 997-6212

Fax

(704) 997-6216

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Misty L. Collier

Title

Owner

Phone

(704) 997-6212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1184988073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 W KENTON CIR",
            "address_2": "SUITE 150",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784850",
            "telephone_number": "704-997-6212",
            "fax_number": "704-997-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 W KENTON CIR",
            "address_2": "SUITE 150",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784850",
            "telephone_number": "704-997-6212",
            "fax_number": "704-997-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-997-6212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey L Coffman, RPH
• Cognitive Linguistic Solutions, LLC
• Matthew Cole, BCBA
• Breanna Nicole Coleman
• Garison Coleman
• Jennifer Collins
• Jonathan Neal Colter, D.C.
• Julianne Prettyman Colvin, D.D.S
• Katy Comeaux
• Community Cares Concierge

• Clinical Psychologist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.