Kelly Adamchick, MA, AC, CAS, LPA-HSP

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

7509 Hogans Bluff LN
Mint Hill, NC 28227-5801

Phone

(704) 614-2128

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1922747237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 HOGANS BLUFF LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282275801",
            "telephone_number": "704-614-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 HOGANS BLUFF LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282275801",
            "telephone_number": "704-614-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMCHICK",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "MA, AC, CAS, LPA-HSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellya.adamchick@cms.k12.nc.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "N/A",
            "address_1": "7509 Hogans Bluff Ln",
            "city": "Mint Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282275801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychologist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.