Organization Active NPI

Pittsboro Pediatric Psychology and ADHD Clinic

  • Psychologist
  • Pittsboro, NC
National Provider Identifier
1376911917
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2634 Issued in NC
Legal business name
PITTSBORO PEDIATRIC PSYCHOLOGY AND ADHD CLINIC
Practice address
290 East St Ste 106
Pittsboro, NC 27312-8863
Phone
(919) 548-5612
Fax
(919) 535-9247
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Dr. Heather Brewis Scheffler, PHD
Title
President
Phone
(919) 548-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2634 NC Primary

Addresses

Primary practice location

290 East St Ste 106
Pittsboro, NC 27312-8863

Mailing address

PO Box 1372
Pittsboro, NC 27312-1372
Phone (919) 548-5612

Other names 1

  • Scheffler Psychological Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

290 East St
Ste 106
Pittsboro, NC 27312
Phone (919) 548-5612

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1376911917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1372",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273121372",
            "telephone_number": "919-548-5612",
            "fax_number": "919-535-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 EAST ST STE 106",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128863",
            "telephone_number": "919-548-5612",
            "fax_number": "919-535-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBORO PEDIATRIC PSYCHOLOGY AND ADHD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHEFFLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "BREWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-548-5612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scheffler Psychological Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.