Organization Active NPI

Radson & Strayer Psychological Services, PLLC

  • Clinical Psychologist
  • Rocky Mount, NC
National Provider Identifier
1659575892
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1074 Issued in NC
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

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Robert D Radson, MSNPI 1841318730
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6006403MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.