Active NPI
Fortitude Psychological Services, Inc.
- Clinical Psychologist
- Wilmington, NC
National Provider Identifier
1780231878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- FORTITUDE PSYCHOLOGICAL SERVICES, INC.
- Practice address
- 1804 Glen Meade Rd
Wilmington, NC 28403-6023 - Phone
- (910) 799-7557
- Fax
- (910) 799-7558
- NPI assigned
- Aug 22, 2019
- Last updated
- Apr 23, 2025
- 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
- Erika McCullough-Simpson, MA, LPA
- Title
- Ceo/Owner
- Phone
- (910) 620-8575
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1804 Glen Meade Rd
Wilmington, NC 28403-6023
Mailing address
1804 Glen Meade Rd
Wilmington, NC 28403-6023
Phone (910) 799-7557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Wilmington, NC
- NPI 1457480667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1780231878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 GLEN MEADE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036023",
"telephone_number": "910-799-7557",
"fax_number": "910-799-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 GLEN MEADE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036023",
"telephone_number": "910-799-7557",
"fax_number": "910-799-7558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTITUDE PSYCHOLOGICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-22",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "MCCULLOUGH-SIMPSON",
"authorized_official_first_name": "ERIKA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "910-620-8575",
"authorized_official_credential": "MA, LPA"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.