Carolina Psychology and Consulting, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5626 Issued in NC

Legal business name

CAROLINA PSYCHOLOGY AND CONSULTING, PLLC

Practice address

2407 Plantation Center Dr Ste 103
Matthews, NC 28105-6614

Phone

(704) 246-8389

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Lowell Niemeier, LP

Title

Owener

Phone

(804) 677-0185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1336625334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 PLANTATION CENTER DR STE 103",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 PLANTATION CENTER DR STE 103",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056614",
            "telephone_number": "704-246-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PSYCHOLOGY AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "NIEMEIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "804-677-0185",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Family Counseling, PLLC
• Carolina Family Healthcare
• Carolina Medicorp Enterprises,Inc (Novant Health Urgent Care & Occupational Medicine)
• Carolina Neurosurgery & Spine Associates, PA
• Carolina Premier Home Care
• Carolina Village Community Care, LLC
• Carolina's Creative Counseling, PA
• Carolina's Home Medical Equipment, Inc.
• Carolinas Headache Clinic
• Carolinas Medical Center (Carolinas Bank and Sports Specialists)

• Clinical Psychologist in Matthews, NC
• Providers in Matthews, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.