Foundation Family Care P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3167 Issued in NC

Legal business name

FOUNDATION FAMILY CARE P.C.

Practice address

1020 Crews Rd Ste M
Matthews, NC 28105-7587

Phone

(704) 575-9289

Fax

(877) 548-5345

NPI assigned

Apr 19, 2016

Last updated

Apr 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Kemper, PSY.D.NPI 1255359204

Title

President

Phone

(704) 575-9289

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie D. Kemper, PSY.D.

  • Clinical Psychologist
  • Matthews, NC
  • NPI 1255359204
  Authorized official Same address or phone

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1932553690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CREWS RD STE M",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057587",
            "telephone_number": "704-575-9289",
            "fax_number": "877-548-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CREWS RD STE M",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057587",
            "telephone_number": "704-575-9289",
            "fax_number": "877-548-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FAMILY CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-575-9289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000815",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forsyth Medical Group, LLC (Matthews Internal Medicine)
• Ann Foster, PT
• Dominique Foster, LCSWA
• Nicholas A Foster, BS, DC
• Richard Stevens Foulke, M.D.
• Emily Fowler
• Heather Dillard Fowler, FNP-C
• Fox Rehab OT NC LLC
• Fox Rehab PT NC LLC
• Fox Rehab SLP NC PLLC

• Psychologist in Matthews, NC
• Providers in Matthews, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.