Individual provider Active NPI

Joyce Lum, PH.D.

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1922266410
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2615 Issued in NC
Practice address
8401 University Exec Park Dr Ste 100
Charlotte, NC 28262-1360
Phone
(919) 445-2365
Fax
(919) 445-2353
NPI assigned
May 30, 2008
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2615 NC Primary

Addresses

Primary practice location

8401 University Exec Park Dr Ste 100
Charlotte, NC 28262-1360

Mailing address

8401 University Exec Park Dr Ste 100
Charlotte, NC 28262-1360
Phone (919) 445-2365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140111000229 NC Practitioner - Clinical Psychologist 6507094851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

8401 University Exec Park Dr
Suite 100
Charlotte, NC 28262-1360
Phone (919) 445-2365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2615NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill-Teacch Autism Program Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1922266410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXEC PARK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621360",
            "telephone_number": "919-445-2365",
            "fax_number": "704-563-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXEC PARK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621360",
            "telephone_number": "919-445-2365",
            "fax_number": "919-445-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.