Organization Active NPI

Behavior Consultation and Psychological Services, PLLC

  • Psychologist
  • Greenville, NC
National Provider Identifier
1710291802
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2274 Issued in NC
Legal business name
BEHAVIOR CONSULTATION AND PSYCHOLOGICAL SERVICES, PLLC
Practice address
3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Phone
(252) 751-0518
Fax
(252) 751-0518
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Lorelei Stuart, LPA
Title
Behavior Psychologist/Director
Phone
(919) 605-6072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2274 NC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640

Mailing address

3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Phone (252) 751-0518

Other practice location 1

3000 Bethesda Pl Ste 202
Winston Salem, NC 27103-3324
Phone (252) 751-0518

Other practice location 2

4122 E Church St
Farmville, NC 27828-1687
Phone (919) 605-6072

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1710291802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 DUNHAGAN RD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586640",
            "telephone_number": "252-751-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 DUNHAGAN RD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586640",
            "telephone_number": "252-751-0518",
            "fax_number": "252-751-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bethesda Pl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033324",
            "country_code": "US",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4122 E Church St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "NC",
            "postal_code": "278281687",
            "country_code": "US",
            "telephone_number": "919-605-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIOR CONSULTATION AND PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "LORELEI",
        "authorized_official_title_or_position": "BEHAVIOR PSYCHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "919-605-6072",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2274",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.