Erika Lynn McCullough-Simpson, LPA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1986 Issued in NC

Practice address

4900 Randall Pkwy
Suite D
Wilmington, NC 28403-1798

Phone

(910) 799-7557

Fax

(910) 799-7558

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fortitude Psychological Services, Inc.

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1780231878
  Medicare reassignment NPD Authorized official
• A Sound View, PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1699917005
  NPD (past)
• Community Support Agency, LLC

  • Community/Behavioral Health Agency
  • Delco, NC
  • NPI 1447393020
  NPD (past)
• Stem Education for a Global Society

  • Local Education Agency (LEA)
  • Delco, NC
  • NPI 1326454059
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1457480667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 RANDALL PKWY",
            "address_2": "SUITE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031798",
            "telephone_number": "910-799-7557",
            "fax_number": "910-799-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 RANDALL PKWY",
            "address_2": "SUITE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031798",
            "telephone_number": "910-799-7557",
            "fax_number": "910-799-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH-SIMPSON",
        "first_name": "ERIKA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley McCoy, LCSWA
• Hannah Elizabeth McCoy
• William B McCrea, MD
• James McCriskin, DO
• Jill Ann McCulley, MS PAC
• Lauren McCullough
• Alexander T McDaniel, MHSC, ATC, LAT, CSCS
• Melinda Bryant McDaries, DC
• Barbara Ann McDermott, CRNA
• Marielle Leigh McDermott, DNP, RN

• Clinical Psychologist in Wilmington, NC
• Providers in Wilmington, 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 Sep 18, 2012; 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.