Active NPI
Tara Renee Laymon, PHD LPA LBA BCBA-D
- Psychologist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5485
- Practice address
- 8530 Cliff Cameron Dr
Charlotte, NC 28269-5906 - Phone
- (336) 560-7878
- NPI assigned
- Jul 31, 2014
- Last updated
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5485 | NC | Primary |
| Behavior Analyst | 103K00000X | 101 | NC |
Addresses
Primary practice location
8530 Cliff Cameron Dr
Charlotte, NC 28269-5906
Mailing address
4036 Sherri LN
Fort Mill, SC 29715-8390
Phone (484) 557-3714
Other practice location 1
1420 Plaza Dr
Winston Salem, NC 27103-1470
Phone (336) 560-7878
Other practice location 2
134 Infield Ct
Mooresville, NC 28117-8026
Phone (704) 799-6824
Other practice location 3
10502 Park Rd Ste 150
Charlotte, NC 28210-8490
Phone (336) 560-7878
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5485 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Bridge to Achievement NC, LLC | Behavior Analyst | Past | Accepting new patients |
| Lolly Therapeutics, LLC | Behavior Analyst | Past | Accepting new patients |
| Integrative Therapy Concepts | Past | Accepting new patients |
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.
-
dba A Bridge to Achievement
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1093233264
Behavior Analyst
-
- Pediatric Occupational Therapist
- Mooresville, NC
- NPI 1508849332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1558779785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4036 SHERRI LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158390",
"telephone_number": "484-557-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8530 CLIFF CAMERON DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282695906",
"telephone_number": "336-560-7878"
}
],
"practiceLocations": [
{
"address_1": "1420 Plaza Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271031470",
"country_code": "US",
"telephone_number": "336-560-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 Infield Ct",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281178026",
"country_code": "US",
"telephone_number": "704-799-6824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10502 Park Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108490",
"country_code": "US",
"telephone_number": "336-560-7878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAYMON",
"first_name": "TARA",
"middle_name": "RENEE",
"credential": "PHD LPA LBA BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5485",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.