Active NPI
Carol D. Capehart, MA, LPA
- Psychologist
- Charlotte, NC
National Provider Identifier
1700969748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0748
- Practice address
- 2034 Randolph Rd
Charlotte, NC 28207-1216 - Phone
- (704) 332-4834
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0748 | NC | Primary |
Addresses
Primary practice location
2034 Randolph Rd
Charlotte, NC 28207-1216
Mailing address
1604 Nottingham Dr
Gastonia, NC 28054-5752
Phone (704) 866-9151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0748 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700969748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 NOTTINGHAM DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545752",
"telephone_number": "704-866-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071216",
"telephone_number": "704-332-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPEHART",
"first_name": "CAROL",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "MA, LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "0748",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.