Psychology South, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PSYCHOLOGY SOUTH, PLLC

Practice address

4 Sourwood Dr
Mills River, NC 28759-1960

Phone

(704) 608-2142

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corinne Secrest, PH.D.NPI 1710120738

Title

Owner

Phone

(704) 608-2142

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corinne Secrest, PH.D.

  • Psychologist
  • Mills River, NC
  • NPI 1710120738
  Authorized official Same address or phone

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1215613872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SOURWOOD DR",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287591960",
            "telephone_number": "704-608-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SOURWOOD DR",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287591960",
            "telephone_number": "704-608-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY SOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "SECREST",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-608-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "1710120738",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Alford Osentoski, PH.D.
• Paragon Outpatient Rehabilitation Services, LLC (Synchrony Rehab)
• Pardee Ambulatory Surgery Center Inc (The Surgery Center at Mills River)
• Pardee Mills River Family Health Center
• Mackenzie Cashman Precht, PA-C
• Publix North Carolina LP (Publix Pharmacy #2105)
• Relieve Physical Therapy, LLC
• Resconnect LLC
• Mark R Rich, PT
• Lindsey Jeanette Rosenheim

• Adult Mental Health Clinic/Center in Mills River, NC
• Providers in Mills River, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.