Active NPI
Karen Elizabeth Oldham, PSY.D.
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1235216821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2720
- Practice address
- 1905 J N Pease PL
Suite 104
Charlotte, NC 28262-4557 - Phone
- (704) 549-0333
- Fax
- (704) 549-0333
- NPI assigned
- Nov 1, 2006
- 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 | 2720 | NC | Primary |
Addresses
Primary practice location
1905 J N Pease PL
Suite 104
Charlotte, NC 28262-4557
Mailing address
1905 J N Pease PL
Suite 104
Charlotte, NC 28262-4557
Phone (704) 549-0333
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 |
|---|---|---|---|
| 2720 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235216821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 J N PEASE PL",
"address_2": "SUITE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624557",
"telephone_number": "704-549-0333",
"fax_number": "704-549-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 J N PEASE PL",
"address_2": "SUITE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624557",
"telephone_number": "704-549-0333",
"fax_number": "704-549-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDHAM",
"first_name": "KAREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2720",
"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 Jul 8, 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.