Organization Active NPI

Grotto Psychological Solutions, PC

  • Clinical Psychologist
  • Gastonia, NC
National Provider Identifier
1275267072
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GROTTO PSYCHOLOGICAL SOLUTIONS, PC
Practice address
3612 Creekside Dr
Gastonia, NC 28056-7118
Phone
(704) 292-6020
NPI assigned
Jul 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Melissa M Sisco, PHDNPI 1225678071
Title
Owner/Psychologist
Phone
(704) 292-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3612 Creekside Dr
Gastonia, NC 28056-7118

Mailing address

3612 Creekside Dr
Gastonia, NC 28056-7118
Phone (704) 292-6020

Other identifiers 1

IdentifierTypeStateIssuer
5744OtherNCNC BOARD OF PSYCHOLOGY CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.therapynotes.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1275267072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 CREEKSIDE DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567118",
            "telephone_number": "704-292-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 CREEKSIDE DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567118",
            "telephone_number": "704-292-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTTO PSYCHOLOGICAL SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "704-292-6020",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PSYCHOLOGY CERTIFICATION",
            "identifier": "5744",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "Complete mental health record keeping, scheduling, documentation, communication service. Encrypted and hipaa compliant",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3612 Creekside Dr",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280567118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.