Psychll Incorporated

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

NC-C002067 Issued in NC

Legal business name

PSYCHLL INCORPORATED

Practice address

111 Cloister CT Ste 100
Chapel Hill, NC 27514-2295

Phone

(919) 942-9574

Fax

(919) 403-5511

NPI assigned

Oct 3, 2007

Last updated

Jan 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lewis Lipsitz, MSW

Title

President

Phone

(919) 942-9574

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lou Lipsitz, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
  • NPI 1205915220
  Medicare reassignment NPD
• Twyla Joanna Peterson Wilson, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Chapel Hill, NC
  • NPI 1558458166

  Clinical

  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1487841458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOISTER CT STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142295",
            "telephone_number": "919-942-9574",
            "fax_number": "919-403-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLOISTER CT STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142295",
            "telephone_number": "919-942-9574",
            "fax_number": "919-403-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHLL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "LIPSITZ",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-942-9574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "NC-C002067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Peter Prudenti, DDS
• Megan Elizabeth Pruette, M.D.
• Raj S Pruthi, MD
• William Watkins Pryor III, MD
• Wayne Alan Psek
• Jonathan Ptachcinski, PHARMD
• Anthony Thomas Pudlo, PHARM.D., M.B.A.
• Puentes Care PLLC
• Jose Antonio Puentes Jr., MD, PHARM D.
• Jody Puett, LPN

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.