Individual provider Active NPI

Tara Renee Laymon, PHD LPA LBA BCBA-D

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1558779785
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5485 Issued in NC
Practice address
8530 Cliff Cameron Dr
Charlotte, NC 28269-5906
Phone
(336) 560-7878
NPI assigned
Jul 31, 2014
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5485NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Bridge to Achievement NC, LLC Behavior Analyst PastSince Sep 1, 2019 Accepting new patients
Lolly Therapeutics, LLC Behavior Analyst PastSince Jan 26, 2025 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.

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.

Verify at the official NPI Registry.