Active NPI
Rebecca R Tomsyck
- Child & Adolescent Psychiatry Physician
- Charlotte, NC
National Provider Identifier
1255349114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 31418
- Practice address
- 6220 Thermal Rd
Charlotte, NC 28211-5630 - Phone
- (704) 366-8712
- NPI assigned
- Aug 4, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 31418 | NC | Primary |
Addresses
Primary practice location
6220 Thermal Rd
Charlotte, NC 28211-5630
Mailing address
6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 366-8712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10454 | Other | SC | MD |
| 31418 | Other | NC | MD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31418 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1255349114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 THERMAL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115630",
"telephone_number": "704-366-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 THERMAL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115630",
"telephone_number": "704-366-8712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMSYCK",
"first_name": "REBECCA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "31418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD",
"identifier": "10454",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD",
"identifier": "31418",
"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 Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.