Active NPI
Cynthia Russo May, LPA
- Psychologist
- Goldsboro, NC
National Provider Identifier
1740371061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1432
- Practice address
- 1619 S Taylor St
Goldsboro, NC 27530-6768 - Phone
- (919) 738-8733
- Fax
- (919) 734-9050
- NPI assigned
- Sep 28, 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 | 1432 | NC | Primary |
Addresses
Primary practice location
1619 S Taylor St
Goldsboro, NC 27530-6768
Mailing address
1619 S Taylor St
Goldsboro, NC 27530-6768
Phone (919) 738-8733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046GV | Other | NC | BCBS |
| 6107090 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1432 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1740371061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 S TAYLOR ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275306768",
"telephone_number": "919-738-8733",
"fax_number": "919-734-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 S TAYLOR ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275306768",
"telephone_number": "919-738-8733",
"fax_number": "919-734-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "CYNTHIA",
"middle_name": "RUSSO",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "046GV",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107090",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.