Psychological Assessment Center of Charlotte, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOLOGICAL ASSESSMENT CENTER OF CHARLOTTE, PLLC

Practice address

9929 Albemarle Rd Ste 4C
Charlotte, NC 28227-3371

Phone

(704) 604-2371

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Edwards, PHDNPI 1679922827

Title

Clinical Psychologist

Phone

(704) 604-2371

Specialties & licenses 1

Addresses

Other names 1

• PACC Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen Edwards

  • Psychologist
  • Charlotte, NC
  • NPI 1679922827
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1407696768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 PROSSER WAY UNIT 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161023",
            "telephone_number": "704-604-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 ALBEMARLE RD STE 4C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273371",
            "telephone_number": "704-604-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT CENTER OF CHARLOTTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "704-604-2371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey Daley Pryor, MA CCC-SLP
• Mariah Prys, PA-C
• Thomas Michael Przybysz II, MD
• Ashley Louise Przybyszewski, M.A., CCC-SLP
• Psychiatric and Forensic Associates, P.a.
• Psychological Management Services
• Psychological Management Services (PMS)
• Psychological Services of Charlotte
• Daniel Ptah
• Jamelia D Ptah, LMBT

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, 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 May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.