Chad Wesley Kraska, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

102967 Issued in NC

Practice address

7400 Carmel Executive Park Dr Ste 135
Charlotte, NC 28226-8400

Phone

(704) 464-4910

NPI assigned

Nov 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Genesis Clincal Services

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1801473939
  NPD Authorized official
• Carolinas Counseling Group of Charlotte, Inc.

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1558335679
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1801172051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 CARMEL EXECUTIVE PARK DR STE 135",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268400",
            "telephone_number": "704-464-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 CARMEL EXECUTIVE PARK DR STE 135",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268400",
            "telephone_number": "704-464-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASKA",
        "first_name": "CHAD",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "102967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman John Kramer, M.D.
• Olga Maria Kramer, PA-C
• Kayla Lincoln Krammes, PA-C
• Jennifer L. Krance, PSY.D.
• Karissa Fay Krapf, LCSW
• Michael Krasnokutsky
• Taylor Grace Krasnomowitz
• Candice Krasuski, RDN, LDN
• Alison Lee Kraus Flowers
• Miriam Anne Kraus, DNP, APRN, FNP-C

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.