Active NPI
Radson & Strayer Psychological Services, PLLC
- Clinical Psychologist
- Rocky Mount, NC
National Provider Identifier
1659575892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1074
- Legal business name
- RADSON & STRAYER PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 854 Country Club Rd
Rocky Mount, NC 27804-1706 - Phone
- (252) 446-7673
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert D Radson, MS
- Title
- Psychologist
- Phone
- (252) 446-7673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1074 | NC | Primary |
Addresses
Primary practice location
854 Country Club Rd
Rocky Mount, NC 27804-1706
Mailing address
854 Country Club Rd
Rocky Mount, NC 27804-1706
Phone (252) 446-7673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006403 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
854 Country Club Rd
Rocky Mount, NC 27804
Phone (252) 446-7673
301 S Church St
Ste 262
Rocky Mount, NC 27804
Phone (252) 446-7673
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Rocky Mount, NC
- NPI 1841318730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1659575892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 COUNTRY CLUB RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041706",
"telephone_number": "252-446-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 COUNTRY CLUB RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041706",
"telephone_number": "252-446-7673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADSON & STRAYER PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-12",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "RADSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "252-446-7673",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006403",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.