Active NPI
Dr. Silva de Souza, PLLC
- Health Service Psychologist
- Cornelius, NC
National Provider Identifier
1770064842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 5306
- Legal business name
- DR. SILVA DE SOUZA, PLLC
- Practice address
- 18151 W Catawba Ave
Cornelius, NC 28031 - Phone
- (704) 495-4435
- NPI assigned
- Aug 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thea Oculato Silva de Souza, PH.D.
- Title
- Owner
- Phone
- (917) 589-5372
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 5306 | NC | Primary |
Addresses
Primary practice location
18151 W Catawba Ave
Cornelius, NC 28031
Mailing address
18151 W Catawba Ave
Cornelius, NC 28031-5641
Phone (704) 495-4435
Other practice location 1
18151 W Catawba Ave
Cornelius, NC 28031
Phone (704) 495-4435
Other names 1
- Higher Ground Psychological Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18151 W Catawba Ave
Unit 15
Cornelius, NC 28031
Phone (704) 495-4435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547164800000",
"number": "1770064842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18151 W CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315641",
"telephone_number": "704-495-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18151 W CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "28031",
"telephone_number": "704-495-4435"
}
],
"practiceLocations": [
{
"address_1": "18151 W Catawba Ave",
"address_purpose": "LOCATION",
"city": "Cornelius",
"state": "NC",
"postal_code": "28031",
"country_code": "US",
"telephone_number": "704-495-4435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DR. SILVA DE SOUZA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-27",
"last_updated": "2019-01-11",
"status": "A",
"authorized_official_last_name": "SILVA DE SOUZA",
"authorized_official_first_name": "THEA",
"authorized_official_middle_name": "OCULATO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-589-5372",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "5306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Higher Ground Psychological Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.