Elevate Sport Psychology PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ELEVATE SPORT PSYCHOLOGY PLLC

Practice address

7313 Cateswood CT
Apex, NC 27539-9387

Phone

(973) 615-3512

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Lonnie SarnellNPI 1023443744

Title

Owner/Psychologist

Phone

(973) 615-3512

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lonnie Bryce Sarnell

  • Clinical Psychologist
  • Apex, NC
  • NPI 1023443744
  NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1831887058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 CATESWOOD CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275399387",
            "telephone_number": "973-615-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 CATESWOOD CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275399387",
            "telephone_number": "973-615-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE SPORT PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "SARNELL",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-615-3512"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Rachel Egger-Alley, MA
• Ziad Chahine El Tannir, PA-C
• Nina El-Chebli, RD, LDN
• Elizabeth Davis Elder
• Sameera Eleidy
• Alexandra Elios, PA-C
• Elise Brace, DMD, PA
• Rehab Zakaria Hassan Elkhouly
• Lyndsey Elkins, DPT
• Tammy K. Elliott, OT

• Clinical Psychologist in Apex, NC
• Providers in Apex, 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 Mar 17, 2024; 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.