NPIMap

Organization Active NPI

Falls Neuropsychology and Psychotherapy Associates, PLLC

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1376702084
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3043 Issued in NC
Legal business name
FALLS NEUROPSYCHOLOGY AND PSYCHOTHERAPY ASSOCIATES, PLLC
Practice address
8216 Creedmoor Rd Ste 101
Raleigh, NC 27613-1391
Phone
(919) 870-0264
Fax
(919) 870-0293
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Ms. Denise Quirk Bundick, LCSWNPI 1780755983
Title
Co-Owner
Phone
(919) 870-0264

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3043 NC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C004784 NC

Addresses

Primary practice location

8216 Creedmoor Rd Ste 101
Raleigh, NC 27613-1391

Mailing address

8216 Creedmoor Rd Ste 101
Raleigh, NC 27613-1391
Phone (919) 870-0264

National Provider Directory

National Provider Directory

Locations

8216 Creedmoor Rd
Ste 101
Raleigh, NC 27613
Phone (919) 870-0264

8388 Six Forks Rd
#104
Raleigh, NC 27615
Phone (919) 870-0264

Practitioners & affiliated clinicians

Practitioners 3

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": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1376702084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131391",
            "telephone_number": "919-870-0264",
            "fax_number": "866-777-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131391",
            "telephone_number": "919-870-0264",
            "fax_number": "919-870-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS NEUROPSYCHOLOGY AND PSYCHOTHERAPY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2024-04-17",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "BUNDICK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "QUIRK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-870-0264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3043",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.