Individual provider Active NPI

Vernon Pointer

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1265140974
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8405 Pineville Matthews Rd
Charlotte, NC 28226-4704
Phone
(414) 935-8989
NPI assigned
Nov 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NC Primary

Addresses

Primary practice location

8405 Pineville Matthews Rd
Charlotte, NC 28226-4704

Mailing address

8405 Pineville Matthews Rd
Charlotte, NC 28226-4704
Phone (414) 935-8989

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care Services, LLC PastSince Jan 15, 2023 Accepting new patients
Integrated Care Services, LLC. PastSince Nov 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1265140974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 PINEVILLE MATTHEWS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264704",
            "telephone_number": "414-935-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 PINEVILLE MATTHEWS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264704",
            "telephone_number": "414-935-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINTER",
        "first_name": "VERNON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": null,
            "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 Mar 10, 2023; 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.