Active NPI
Brad Michael Todd-Pillman, PH.D.
- Clinical Psychologist
- Sylva, NC
National Provider Identifier
1528087491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3023
- Practice address
- 186 Medical Park Loop
Suite 502
Sylva, NC 28779-5222 - Phone
- (828) 586-5555
- Fax
- (828) 586-5527
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3023 | NC | Primary |
Addresses
Primary practice location
186 Medical Park Loop
Suite 502
Sylva, NC 28779-5222
Mailing address
186 Medical Park Loop
Suite 502
Sylva, NC 28779-5222
Phone (828) 586-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000674 | Medicaid | NC | |
| 046HR | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3023 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylva Clinical Associates, PA | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528087491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 MEDICAL PARK LOOP",
"address_2": "SUITE 502",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795222",
"telephone_number": "828-586-5555",
"fax_number": "828-586-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 MEDICAL PARK LOOP",
"address_2": "SUITE 502",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795222",
"telephone_number": "828-586-5555",
"fax_number": "828-586-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD-PILLMAN",
"first_name": "BRAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000674",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "046HR",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.