Individual provider Active NPI

Aitza Galarza-Hernandez, PH.D.

  • Psychologist
  • Wilmington, NC
National Provider Identifier
1497289375
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4754 Issued in NC
Practice address
2601 Iron Gate Dr Ste 101
Wilmington, NC 28412-6624
Phone
(910) 202-9113
Fax
(910) 202-9289
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4754 NC
Psychologist 103T00000X 4754 NC Primary

Addresses

Primary practice location

2601 Iron Gate Dr Ste 101
Wilmington, NC 28412-6624

Mailing address

7517 Quail Woods Rd
Wilmington, NC 28411-7273
Phone (910) 431-1773

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
I20240515000674 NC Practitioner - Clinical Psychologist 0446691901 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4754NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Apr 3, 2024 Accepting new patients
Karen S. Kirk, PHD, PLLC Community/Behavioral Health CurrentSince Oct 30, 2022 Accepting new patients
Galarza Psychological Services PLLC Psychologist CurrentSince Jan 15, 2023 Accepting new patients

Locations

100 Technology Dr
Ste A
Asheville, NC 28803
Phone (828) 251-6319

100 Renee Lynn Ct
Carrboro, NC 27510
Phone (919) 966-5156

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

8401 University Exec Park Dr
Ste 100
Charlotte, NC 28262
Phone (919) 445-2365

925 Revolution Mill Dr
Ste 7
Greensboro, NC 27405
Phone (336) 334-5773

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4301 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 445-5800

2601 Iron Gate Dr
Ste 101
Wilmington, NC 28412
Phone (910) 202-9113

2460 Delaney Ave
Wilmington, NC 28403
Phone (910) 407-9473

Interoperability endpoints

  • Direct secure messaging: aitza.galarza@karen-kirk.direct.kno2fy.com
  • Direct secure messaging: agalarzahernandez1138076@direct.unc.nchie.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1497289375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 QUAIL WOODS RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117273",
            "telephone_number": "910-431-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 IRON GATE DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126624",
            "telephone_number": "910-202-9113",
            "fax_number": "910-202-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALARZA-HERNANDEZ",
        "first_name": "AITZA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "4754",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.