Individual provider Active NPI

Charmaine Beatrice Harrington, PHD

  • Addiction (Substance Use Disorder) Psychologist
  • Raeford, NC
National Provider Identifier
1558533976
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
0718000223 Issued in VA
Practice address
261 W Palmer Ave
Raeford, NC 28376-5654
Phone
(910) 875-6451
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 1009 NC
Addiction (Substance Use Disorder) Psychologist 103TA0400X LCA394 MD
Addiction (Substance Use Disorder) Psychologist 103TA0400X 0718000223 VA Primary

Addresses

Primary practice location

261 W Palmer Ave
Raeford, NC 28376-5654

Mailing address

500 N Roosevelt Blvd
Suite #613
Falls Church, VA 22044-3139
Phone (703) 533-1170

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCA394MDMDAddiction (Substance Use Disorder) Psychologist
1009NCMDAddiction (Substance Use Disorder) Psychologist
0718000223VAMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1558533976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N ROOSEVELT BLVD",
            "address_2": "SUITE #613",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443139",
            "telephone_number": "703-533-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W PALMER AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765654",
            "telephone_number": "910-875-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "CHARMAINE",
        "middle_name": "BEATRICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1009",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA394",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.