Reckon Psychology, PLLC

Key facts

NPI

1881348076

Entity type

Organization (NPI type 2)

Primary specialty

Psychologist 103T00000X

Legal business name

RECKON PSYCHOLOGY, PLLC

Practice address

342 Kenneth LN
Willow Spring, NC 27592-6574

Phone

(919) 441-2785

NPI assigned

Feb 7, 2022

Organization subpart

No

Authorized official

Name

Jacquelyn G Mercer, PHD NPI 1871246058

Title

Licensed Psychologist

Phone

(919) 441-2785

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Jacquelyn G Mercer Psychologist · Willow Spring, NC · NPI 1871246058
  NPD Authorized official PSYCHOLOGIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 7, 2022.

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1881348076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 KENNETH LN",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275926574",
            "telephone_number": "919-441-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 KENNETH LN",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275926574",
            "telephone_number": "919-441-2785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Glenwood Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276123857",
            "country_code": "US",
            "telephone_number": "919-435-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECKON PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-441-2785",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Willow Spring, NC · Psychologist in North Carolina