Karis Pearson-Parham, PHD, HSP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4563 Issued in NC

Practice address

1213 Culbreth Dr
Wilmington, NC 28405-3639

Phone

(910) 742-9243

Fax

(888) 746-1787

NPI assigned

May 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Karis Pearson Fitch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindpath Care Centers, North Carolina, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1508803214

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1639589997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303538622",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CULBRETH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053639",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON-PARHAM",
        "first_name": "KARIS",
        "name_prefix": "Dr.",
        "credential": "PHD, HSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4563",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIS",
            "last_name": "FITCH",
            "middle_name": "PEARSON",
            "prefix": "DR.",
            "credential": "PHD, HSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peak Resources - Wilmington, Inc
• Kaela Irene Pearce, M.D.
• Sarah E Pearce
• Edith Lyneet Pearsall, FNP
• Alexander Gerald Pearson-Moyers, PT,DPT
• Darren J Pearson, MD
• Heather Dawn Pearson
• Nancy Pebbles, P.T.
• Pechar Enterprises, Inc.
• Evan Peck

• Clinical Psychologist in Wilmington, NC
• Providers in Wilmington, 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 Jun 3, 2015; 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.