Individual provider Active NPI

Natasha J Sylvester, PSYD

  • Clinical Psychologist
  • Wilmington, NC
National Provider Identifier
1699290767
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5662 Issued in NC
Practice address
5015 Oleander Dr
Wilmington, NC 28403-7016
Phone
(850) 516-2232
NPI assigned
Aug 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5662 NC Primary

Addresses

Primary practice location

5015 Oleander Dr
Wilmington, NC 28403-7016

Mailing address

5004 Oleander Dr
Wilmington, NC 28403-7015
Phone (850) 516-2232

Other practice location 1

325 SW Frazier Ave
Topeka, KS 66606-1963
Phone (785) 232-5005

Other names 1

  • Natasha J Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 14, 2021 through Apr 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5662NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699290767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037015",
            "telephone_number": "850-516-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037016",
            "telephone_number": "850-516-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 SW Frazier Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061963",
            "country_code": "US",
            "telephone_number": "785-232-5005",
            "fax_number": "888-972-5038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "NATASHA",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "BROWN",
            "middle_name": "J",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.