Individual provider Active NPI

Rosalba Pardo, PSYD

  • Psychologist
  • Statesville, NC
National Provider Identifier
1730309782
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
259 N Kelly St
Statesville, NC 28677-5209
Phone
(704) 500-0087
Fax
(704) 500-2720
NPI assigned
May 1, 2007
Last updated
Mar 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

259 N Kelly St
Statesville, NC 28677-5209

Mailing address

PO Box 1669
Statesville, NC 28687-1669
Phone (704) 500-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100819000280 NC Practitioner - Clinical Psychologist 7012041585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Caring Alternative, LLCGroup PAC ID 4981760030, 9 clinicians

Practice addresses (Care Compare)

617 S Green St
Suite 300
Morganton, NC 28655-3693
Phone (828) 437-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Caring Alternative, LLC CurrentSince Dec 18, 2012 Accepting new patients
A Caring Alternative, LLC CurrentSince Dec 18, 2012 Accepting new patients
Carolinas Counseling Solutions Inc. Past Accepting new patients
Mental Health Provider Services LLC Psychologist Past Accepting new patients

Locations

301 E Meeting St
Morganton, NC 28655
Phone (828) 608-0800

617 S Green St
Ste 300
Morganton, NC 28655
Phone (828) 433-8181

Interoperability endpoints

  • Direct secure messaging: rosalba.pardo@direct.acallc.nchie.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1730309782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1669",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871669",
            "telephone_number": "704-500-0087",
            "fax_number": "704-500-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N KELLY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775209",
            "telephone_number": "704-500-0087",
            "fax_number": "704-500-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "ROSALBA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.