Individual provider Active NPI

Emily C Engel, PSY.D.

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1740582907
Registry record updated Nov 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3987 Issued in NC
Practice address
5203 Sharon Rd
Charlotte, NC 28210-4721
Phone
(704) 554-9900
Fax
(704) 554-9956
NPI assigned
Nov 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 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 3987 NC Primary

Addresses

Primary practice location

5203 Sharon Rd
Charlotte, NC 28210-4721

Mailing address

5203 Sharon Rd
Charlotte, NC 28210-4721
Phone (704) 554-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 1, 2017 through Nov 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4219NCMDBehavioral Analyst
3987NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Samaritan Counseling Center Past Accepting new patients

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": "1290297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290297600000",
    "number": "1740582907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 SHARON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104721",
            "telephone_number": "704-554-9900",
            "fax_number": "704-554-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 SHARON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104721",
            "telephone_number": "704-554-9900",
            "fax_number": "704-554-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "EMILY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-21",
        "last_updated": "2010-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.