Active NPI
Bianca T Hemphill, MA, LPA
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1598017253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4361
- Practice address
- 3111 Monroe Rd
Ste 200
Charlotte, NC 28205-7541 - Phone
- (704) 927-5885
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 4361 | NC | |
| Clinical Psychologist | 103TC0700X | 4361 | NC | Primary |
Addresses
Primary practice location
3111 Monroe Rd
Ste 200
Charlotte, NC 28205-7541
Mailing address
527 Shell St
Cedar Hill, TX 75104-3109
Phone (214) 734-5039
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4361 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1598017253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 SHELL ST",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751043109",
"telephone_number": "214-734-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 MONROE RD",
"address_2": "STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057541",
"telephone_number": "704-927-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMPHILL",
"first_name": "BIANCA",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "MA, LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2020-11-05",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4361",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4361",
"primary": true
}
],
"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 Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.