RTC Psychological Associates, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1000 Issued in NC

Legal business name

RTC PSYCHOLOGICAL ASSOCIATES, PLLC

Practice address

398 N Main St
Mooresville, NC 28115-2454

Phone

(704) 663-1330

Fax

(888) 607-8320

NPI assigned

Jun 22, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Taylor Church, M.A.

Title

Licensed Psychological Associate

Phone

(704) 663-1330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1629399894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152454",
            "telephone_number": "704-663-1330",
            "fax_number": "888-607-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152454",
            "telephone_number": "704-663-1330",
            "fax_number": "888-607-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTC PSYCHOLOGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGICAL ASSOCIATE",
        "authorized_official_telephone_number": "704-663-1330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER NUMBER FOR REBECCA CHURCH",
            "identifier": "1245403526",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.