Lisa a. Seropian, Psy.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2135 Issued in NC

Legal business name

LISA A. SEROPIAN, PSY.D., P.A.

Practice address

1001 Elizabeth Ave Ste 1B
Charlotte, NC 28204-2234

Phone

(704) 776-6438

Fax

(877) 975-8238

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Seropian, PSY.D.

Title

President

Phone

(704) 776-6438

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1861702672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ELIZABETH AVE STE 1B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042234",
            "telephone_number": "704-776-6438",
            "fax_number": "877-975-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ELIZABETH AVE STE 1B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042234",
            "telephone_number": "704-776-6438",
            "fax_number": "877-975-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. SEROPIAN, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "SEROPIAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-776-6438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 27, 2016; 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.