Individual provider Active NPI

Brian Ronald Monteleone, PH.D.

  • Counseling Psychologist
  • Charlotte, NC
National Provider Identifier
1487695052
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2846 Issued in NC
Practice address
1977 J N Pease PL
Suite 104
Charlotte, NC 28262-4508
Phone
(704) 503-3535
Fax
(704) 503-5555
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2846 NC Primary

Addresses

Primary practice location

1977 J N Pease PL
Suite 104
Charlotte, NC 28262-4508

Mailing address

1923 J N Pease PL Ste 204
Charlotte, NC 28262-4535
Phone (704) 503-3535

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
I20040524001325 NC Practitioner - Clinical Psychologist 0244221521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Services of CharlotteGroup PAC ID 8921014499, 6 clinicians

Practice addresses (Care Compare)

1923 J N Pease PL
Suite 204
Charlotte, NC 28262-4535
Phone (704) 503-3535

1923 J N Pease Place
Suite 204
Charlotte, NC 28262-4535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2846NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services of Charlotte CurrentSince Feb 1, 2006 Accepting new patients
University Psychiatric Associates P.a. Past Accepting new patients

Locations

1923 J N Pease Pl
Ste 204
Charlotte, NC 28262
Phone (704) 503-3535

Organizations & group practices 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1487695052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 J N PEASE PL STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624535",
            "telephone_number": "704-503-3535",
            "fax_number": "704-593-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 J N PEASE PL",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624508",
            "telephone_number": "704-503-3535",
            "fax_number": "704-503-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELEONE",
        "first_name": "BRIAN",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.