Individual provider Active NPI

David F. Oates, PH.D.

  • Clinical Psychologist
  • Charlotte, NC
National Provider Identifier
1447359393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2275 Issued in NC
Practice address
10001 Old Concord Road
Charlotte, NC 28213
Phone
(704) 547-1483
Fax
(704) 547-0052
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2275 NC Primary

Addresses

Primary practice location

10001 Old Concord Road
Charlotte, NC 28213

Mailing address

PO Box 568
Newell, NC 28126-0568
Phone (704) 547-1483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000665 NC Practitioner - Clinical Psychologist 4486543683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Psychological Associates PAGroup PAC ID 9335187442, 12 clinicians

Practice addresses (Care Compare)

10001 Old Concord Rd
Charlotte, NC 28213-3646
Phone (704) 547-1483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2275NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Psychological Associates, P.a. Clinical CurrentSince Jan 1, 2004 Accepting new patients

Locations

10001 Old Concord Rd
Charlotte, NC 28213
Phone (704) 547-1483

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447359393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "NEWELL",
            "state": "NC",
            "postal_code": "281260568",
            "telephone_number": "704-547-1483",
            "fax_number": "704-547-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 OLD CONCORD ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28213",
            "telephone_number": "704-547-1483",
            "fax_number": "704-547-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "DAVID",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.