Active NPI
Nicole Sciarrino, BA
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1275836355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2736
- Practice address
- 8601 University East Dr # 11MZ
Charlotte, NC 28213-4353 - Phone
- (843) 484-1702
- NPI assigned
- Dec 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2736 | KS | Primary |
Addresses
Primary practice location
8601 University East Dr # 11MZ
Charlotte, NC 28213-4353
Mailing address
8601 University East Dr # 11MZ
Charlotte, NC 28213-4353
Phone (843) 484-1702
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2736 | KS | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Realization Center, Inc. | Past | Accepting new patients | |
| Realization Center | Past | 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.
-
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- New York, NY
- NPI 1972932465
-
- Clinic/Center
- New York, NY
- NPI 1699827345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1275836355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 UNIVERSITY EAST DR # 11MZ",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134353",
"telephone_number": "843-484-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 UNIVERSITY EAST DR # 11MZ",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134353",
"telephone_number": "843-484-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIARRINO",
"first_name": "NICOLE",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "2736",
"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 Aug 25, 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.