Active NPI
Parktowne Psychological Services
- Clinical Psychologist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1746
- Legal business name
- PARKTOWNE PSYCHOLOGICAL SERVICES
- Practice address
- 1515 Mockingbird LN
Suite 212
Charlotte, NC 28209-3236 - Phone
- (704) 522-8490
- NPI assigned
- Sep 26, 2007
- Last updated
- Jan 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marvin Burt Poston Jr., PSY.D.
- Title
- Owner/Manager
- Phone
- (704) 522-8490
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1746 | NC | Primary |
Addresses
Primary practice location
1515 Mockingbird LN
Suite 212
Charlotte, NC 28209-3236
Mailing address
1515 Mockingbird LN
Suite 212
Charlotte, NC 28209-3236
Phone (704) 522-8490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2345099 | Other | NC | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
1515 Mockingbird Ln
#212
Charlotte, NC 28209
Phone (704) 522-8490
1515 Mockingbird Ln
Ste 212
Charlotte, NC 28209
Phone (704) 522-8490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296000000000",
"number": "1336336023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 MOCKINGBIRD LN",
"address_2": "SUITE 212",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093236",
"telephone_number": "704-522-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MOCKINGBIRD LN",
"address_2": "SUITE 212",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093236",
"telephone_number": "704-522-8490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKTOWNE PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2011-01-26",
"status": "A",
"authorized_official_last_name": "POSTON",
"authorized_official_first_name": "MARVIN",
"authorized_official_middle_name": "BURT",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "704-522-8490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "2345099",
"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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.