Active NPI
Indy Savage Chesis, LPA
- Psychologist
- Rocky Mount, NC
National Provider Identifier
1407133879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1886
- Practice address
- 112 N Circle Dr Ste B
Rocky Mount, NC 27804-2429 - Phone
- (252) 903-5994
- Fax
- (252) 443-2279
- NPI assigned
- Nov 13, 2011
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1886 | NC | Primary |
Addresses
Primary practice location
112 N Circle Dr Ste B
Rocky Mount, NC 27804-2429
Mailing address
112 N Circle Dr Ste B
Rocky Mount, NC 27804-2429
Phone (252) 903-5994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1886 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407133879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N CIRCLE DR STE B",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042429",
"telephone_number": "252-903-5994",
"fax_number": "252-443-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N CIRCLE DR STE B",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042429",
"telephone_number": "252-903-5994",
"fax_number": "252-443-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESIS",
"first_name": "INDY",
"middle_name": "SAVAGE",
"name_prefix": "Ms.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
- Gregory Scott Chandler, RPH
- Malini Fonseka Chandra Serharan, M.D
- Cynthia Michele Chapman, FNP
- Angelica Adkins Charles, FNP
- Emily Drew Chavis Newton, MS, RDN, LDN
- Martha J Chesnutt, MD
- Daniel Cornelius Chestnut, LCAS-A
- David Barry Chewning, CRNA
- Eric Kyunghun Cho, MS, LAT, ATC
- Chosen Few Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.