Pinehurst Neuropsychology, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PINEHURST NEUROPSYCHOLOGY, PLLC

Practice address

45 Aviemore Dr
Pinehurst, NC 28374-9797

Phone

(919) 420-8041

Fax

(910) 420-7081

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Karen D Sullivan, PHD

Title

Owner

Phone

(919) 619-1772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Taeh Allison Ward, PH.D.

  • Clinical Neuropsychologist
  • Mooresville, NC
  • NPI 1881967222
  Medicare reassignment NPD
• Maryanne Sarah Edmundson, PHD, LP

  • Clinical Psychologist
  • Golden Valley, MN
  • NPI 1609393628

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1588099618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "919-420-8041",
            "fax_number": "910-420-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "919-420-8041",
            "fax_number": "910-420-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-619-1772",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinehurst Medical Clinic, Inc.
• Pinehurst Medical Clinic, Inc. (Pinehurst Medical Clinic Endoscopy Center)
• Pinehurst Medical Clinic, Inc.
• Pinehurst Nephrology Associates, PC
• Pinehurst Neurology, PA
• Pinehurst Nursing Center, Inc. (Pinehurst Healthcare and Rehabilitation)
• Pinehurst Nursing Center, Inc. (Pinehurst Healthcare and Rehabilitation Center)
• Pinehurst OBGYN Associates PA
• Pinehurst Opco, LLC (The Greens At Pinehurst Rehabilitation & Living Center)
• Pinehurst Pathology Center Inc

• Psychologist in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.