Psychological Services of the Sandhills, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LPA#2300 Issued in NC

Legal business name

PSYCHOLOGICAL SERVICES OF THE SANDHILLS, PLLC

Practice address

4243 7 LKS W
West End, NC 27376-9306

Phone

(910) 673-1740

NPI assigned

May 7, 2014

Last updated

May 7, 2014By 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

John Wilson

Title

President

Phone

(910) 673-1740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1356751622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 7 LKS W",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273769306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 7 LKS W",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273769306",
            "telephone_number": "910-673-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF THE SANDHILLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-673-1740"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "LPA#2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinehurst Rheumatology PA
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• Jacquelyn Elizabeth Potynsky, PA-C, ATC
• Quality Care Pharmacy of the Sandhills (Quality Care Pharmacy)
• Deepa Ramaswamy, DO
• Anna Long Ray
• Karen Tyree Reaves, LPA
• Michael Stephen Reese, DPT

• Psychologist in West End, NC
• Providers in West End, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.