Active NPI
Josefine Marie Eriksson, PSYD
- Psychologist
- Charlotte, NC
National Provider Identifier
1194335935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5752
- Practice address
- 447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850 - Phone
- (980) 581-3061
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5752 | NC | Primary |
Addresses
Primary practice location
447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850
Mailing address
447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850
Phone (908) 267-5295
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5752 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1194335935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 S SHARON AMITY RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112850",
"telephone_number": "908-267-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 S SHARON AMITY RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112850",
"telephone_number": "980-581-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERIKSSON",
"first_name": "JOSEFINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5752",
"primary": true
}
],
"identifiers": [],
"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 Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.