Active NPI
Pholile Dlamini, PSYD
- Clinical Psychologist
- Cornelius, NC
National Provider Identifier
1205205143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4916
- Practice address
- 18121 W Catawba Ave Ste 5
Cornelius, NC 28031-5641 - Phone
- (704) 755-5558
- Fax
- (704) 741-5250
- NPI assigned
- Sep 22, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4916 | NC | Primary |
Addresses
Primary practice location
18121 W Catawba Ave Ste 5
Cornelius, NC 28031-5641
Mailing address
20311 Chartwell Center Dr Unit 196
Cornelius, NC 28031-5282
Phone (704) 755-5558
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 |
|---|---|---|---|
| 4916 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safety Harbor Assessment and Therapy Services, PLLC | Clinical | Current | Accepting new patients |
Locations
18121 W Catawba Ave
Ste 5
Cornelius, NC 28031
Phone (704) 755-5558
20311 Chartwell Center Dr
Unit 196
Cornelius, NC 28031
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Cornelius, NC
- NPI 1255952461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1205205143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20311 CHARTWELL CENTER DR UNIT 196",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315282",
"telephone_number": "704-755-5558",
"fax_number": "704-741-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18121 W CATAWBA AVE STE 5",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315641",
"telephone_number": "704-755-5558",
"fax_number": "704-741-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DLAMINI",
"first_name": "PHOLILE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.