Carolina Psychology Center, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CAROLINA PSYCHOLOGY CENTER, PLLC

Practice address

1905 J N Pease PL Ste 104
Charlotte, NC 28262-4509

Phone

(704) 609-3614

Fax

(980) 225-0482

NPI assigned

May 6, 2019

Organization subpart

No

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

Authorized official

Name

Jayme Yodice, LPA

Title

Owner

Phone

(704) 609-3614

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Holly Hauser, LPA, HSP-PA

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1902460744
  NPD (past)

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1245895127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624509",
            "telephone_number": "704-609-3614",
            "fax_number": "980-225-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624509",
            "telephone_number": "704-609-3614",
            "fax_number": "980-225-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PSYCHOLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "YODICE",
        "authorized_official_first_name": "JAYME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-609-3614",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Psychiatric Associates, PA
• Carolina Psychiatry and Addiction Services PLLC
• Carolina Psychological Institute, PLLC
• Carolina PT Solutions LLC
• Carolina Recovery Center Dba a New Hope for Addiction and Recovery LLC
• Carolina Respiratory Specialists LLP
• Carolina Respite LLC
• Carolina Retina and Vitreous Consultants, PA

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.