John Wesley Hall, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2457 Issued in NC

Practice address

2157 McClintock Rd
Charlotte, NC 28205-5141

Phone

(704) 258-5553

Fax

(704) 344-0078

NPI assigned

Oct 19, 2005

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1205825544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043337",
            "telephone_number": "704-258-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MCCLINTOCK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055141",
            "telephone_number": "704-258-5553",
            "fax_number": "704-344-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2457",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NC",
            "license": "2457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Hall, PA-C
• James Bryan Hall, MD
• Jessica Chandler Hall, FNP
• Joann Lisa Hall, LCSW
• John David Hall, MD
• Kate Alcott Hall, CCC-SLP
• Kellye Hall, MD
• Kiara Nicole Hall, LCMHCA
• Leah Beth Hall, PA
• Lindsey R. Hall, CRNA

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, 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 Dec 5, 2022; 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.