Organization Active NPI

Atlas Psychological PC

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1639646185
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ATLAS PSYCHOLOGICAL PC
Practice address
10800 Sikes PL Ste 300
Charlotte, NC 28277-8124
Phone
(704) 806-3214
NPI assigned
Nov 1, 2018
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Jeffrey Andrew Atlas
Title
Owner
Phone
(704) 806-3214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10800 Sikes PL Ste 300
Charlotte, NC 28277-8124

Mailing address

10800 Sikes PL Ste 300
Charlotte, NC 28277-8124
Phone (704) 806-3214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1639646185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 SIKES PL STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778124",
            "telephone_number": "704-806-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 SIKES PL STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778124",
            "telephone_number": "704-806-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PSYCHOLOGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "ATLAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-806-3214"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 1, 2018; 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.