Careolina Psychology PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3912 Issued in NC

Legal business name

CAREOLINA PSYCHOLOGY PLLC

Practice address

7810 Ballantyne Commons Pkwy
Suite 307
Charlotte, NC 28277-3415

Phone

(704) 582-9884

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dalia Biller-Nicoletti, PSY.D.NPI 1588789440

Title

Director/Psychologist

Phone

(704) 582-9884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dalia Biller Nicoletti, PSY.D.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1588789440
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1518314434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 TONAWANDA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771896",
            "telephone_number": "704-582-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 BALLANTYNE COMMONS PKWY",
            "address_2": "SUITE 307",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773415",
            "telephone_number": "704-582-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREOLINA PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "BILLER-NICOLETTI",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "704-582-9884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, 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 May 20, 2016; 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.