Active NPI
Ervin Sherwood Batchelor Jr., PH.D.
- Clinical Neuropsychologist
- Charlotte, NC
National Provider Identifier
1235118654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1659
- Practice address
- 1718 E 4TH St
Suite 702
Charlotte, NC 28204-3260 - Phone
- (704) 372-5997
- Fax
- (704) 372-2330
- NPI assigned
- Jan 13, 2006
- Last updated
- Dec 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 Neuropsychologist | 103G00000X | 1659 | NC | Primary |
Addresses
Primary practice location
1718 E 4TH St
Suite 702
Charlotte, NC 28204-3260
Mailing address
1718 E 4TH St
Suite 702
Charlotte, NC 28204-3260
Phone (704) 372-5997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000052 | Medicaid | NC |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1659 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neil Group, Inc | Current | Accepting new patients | |
| Ervin S. Batchelor, PA | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
1399 Ashleybrook Ln
Ste 100
Winston Salem, NC 27103
Phone (336) 446-9080
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carolina Center for Development and Rehabilitation
- Clinical Neuropsychologist
- Charlotte, NC
- NPI 1851416242
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1518142280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1235118654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 E 4TH ST",
"address_2": "SUITE 702",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043260",
"telephone_number": "704-372-5997",
"fax_number": "704-372-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 E 4TH ST",
"address_2": "SUITE 702",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043260",
"telephone_number": "704-372-5997",
"fax_number": "704-372-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATCHELOR",
"first_name": "ERVIN",
"middle_name": "SHERWOOD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NC",
"license": "1659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000052",
"state": "NC"
}
],
"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 Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.