Individual provider Active NPI

Nicolle Renee Napier-Ionascu, PSY.D.

  • Clinical Neuropsychologist
  • Charlotte, NC
National Provider Identifier
1710001490
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3326 Issued in NC
Practice address
125 Baldwin Ave
Ste 100
Charlotte, NC 28204-3227
Phone
(704) 316-1911
Fax
(704) 316-1924
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3326 NC Primary

Addresses

Primary practice location

125 Baldwin Ave
Ste 100
Charlotte, NC 28204-3227

Mailing address

400 Taylor Blvd
Ste 306
Pleasant Hill, CA 94523-2160
Phone (704) 316-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829001027 CA Practitioner - Clinical Psychologist 2860423894 Reassigns benefits to 1 organization
Practice locations: Pleasant Hill, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Taylor Blvd
Suite 300C
Pleasant Hill, CA 94523-2160
Phone (925) 588-8895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3326NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicolle Napier-Ionascu PSYD, a Psychological Corporation Clinical Neuropsychologist CurrentSince Mar 19, 2020 Accepting new patients

Locations

1640 School St
Ste 101
Moraga, CA 94556

400 Taylor Blvd
Ste 300C
Pleasant Hill, CA 94523
Phone (925) 588-3592

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1710001490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD",
            "address_2": "STE 306",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232160",
            "telephone_number": "704-316-1911",
            "fax_number": "704-316-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BALDWIN AVE",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043227",
            "telephone_number": "704-316-1911",
            "fax_number": "704-316-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPIER-IONASCU",
        "first_name": "NICOLLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.