NPIMap

Organization Active NPI

Psychological Mobile Services

  • Psychologist
  • Clayton, NC
National Provider Identifier
1689098774
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3681 Issued in NC
Legal business name
PSYCHOLOGICAL MOBILE SERVICES
Practice address
105 S Ellington St
Clayton, NC 27520-2305
Phone
(252) 291-0735
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Steven Hannant, PSYDNPI 1811013790
Title
Owner
Phone
(919) 252-8896

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 3681 NC Primary
Community/Behavioral Health Agency 251S00000X 0389 NC

Addresses

Primary practice location

105 S Ellington St
Clayton, NC 27520-2305

Mailing address

779 True Vine Rd NE
Pikeville, NC 27863-8800
Phone (919) 252-4816

Other identifiers 1

IdentifierTypeStateIssuer
6008852MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Psychological Mobile Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 S Ellington St
Clayton, NC 27520
Phone (919) 243-0454

Practitioners & affiliated clinicians

Practitioners 12

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": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1689098774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 TRUE VINE RD NE",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638800",
            "telephone_number": "919-252-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S ELLINGTON ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202305",
            "telephone_number": "252-291-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL MOBILE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "HANNANT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-252-8896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3681",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "0389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008852",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.