Redlak Recovery Center, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3208 Issued in NC

Legal business name

REDLAK RECOVERY CENTER, PLLC

Practice address

10801 Johnston Rd Ste 217
Charlotte, NC 28226-7856

Phone

(704) 654-9760

Fax

(704) 552-3705

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Angela Sabina Redlak-Olcese, PSY.D.NPI 1871654368

Title

Manager-Owner

Phone

(704) 654-9760

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Sabina Redlak-Olcese, PSY.D.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1871654368
  NPD (past) Authorized official
• Madison Nancy Dodsworth, MSC (HONS), RDN, LDN

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1578185567
  NPD (past)
• Jessy Danielle Fijak

  • Social Worker
  • Orange, CA
  • NPI 1770177719
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235406109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 TWELVE OAKS PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282704432",
            "telephone_number": "704-654-9760",
            "fax_number": "704-552-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD STE 217",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267856",
            "telephone_number": "704-654-9760",
            "fax_number": "704-552-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLAK RECOVERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REDLAK-OLCESE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "SABINA",
        "authorized_official_title_or_position": "MANAGER-OWNER",
        "authorized_official_telephone_number": "704-654-9760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redemption Eternal LLC
• Redemption Outreach Community Services
• Anthony TC Redfearn, LMFT/LPC/LCAS
• Debra Redfern, RN, CCM, QRP
• Kiara Sharnese Redice, LCMHCA
• Angela Sabina Redlak-Olcese, PSY.D.
• Redliner LLC
• Claire Redmon, DPT
• Jacquelyn Sydney Redmond, MS, LCAS, LCMHC, CSI
• Scott Anthony Redmond, 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 Jul 21, 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.