Individual provider Active NPI

Stephen C Messer, PH.D.

  • Health Service Psychologist
  • Chapel Hill, NC
National Provider Identifier
1194132878
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
5672 Issued in NC
Practice address
102 Market St Ste 102
Chapel Hill, NC 27516-4080
Phone
(919) 960-1034
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1681 HI
Health Service Psychologist 103TH0100X 5672 NC Primary

Addresses

Primary practice location

102 Market St Ste 102
Chapel Hill, NC 27516-4080

Mailing address

102 Market St Ste 102
Chapel Hill, NC 27516-4080
Phone (919) 960-1034

Other practice location 1

302 Copperline Dr Apt D
Chapel Hill, NC 27516-0416
Phone (301) 437-6120

Other identifiers 1

IdentifierTypeStateIssuer
5672OtherNCNC BOARD OF PSYCHOLOGY

Other names 1

  • Stephen Craig Messer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 18, 2020 through Feb 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1681HIMDClinical Psychologist
5672NCMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1194132878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MARKET ST STE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164080",
            "telephone_number": "919-960-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARKET ST STE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164080",
            "telephone_number": "919-960-1034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Copperline Dr Apt D",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275160416",
            "country_code": "US",
            "telephone_number": "301-437-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSER",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1681",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "5672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PSYCHOLOGY",
            "identifier": "5672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "MESSER",
            "middle_name": "CRAIG",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.