Bird Psychological Group PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BIRD PSYCHOLOGICAL GROUP PLLC

Practice address

13950 Ballantyne Corporate PL Ste 155
Charlotte, NC 28277-3163

Phone

(864) 905-8195

NPI assigned

Mar 18, 2024

Last updated

Feb 5, 2025By 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. Jason M Bird, DOCTORATENPI 1205348281

Title

Psychologist/Co-Owner

Phone

(864) 905-8195

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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.

• Sarah P Bird, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1083151799
  Medicare reassignment NPD
• Jason Bird, PH.D.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1205348281
  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1962261404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 BALLANTYNE CORPORATE PL STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773163",
            "telephone_number": "864-905-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 BALLANTYNE CORPORATE PL STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773163",
            "telephone_number": "864-905-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD PSYCHOLOGICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CO-OWNER",
        "authorized_official_telephone_number": "864-905-8195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTORATE"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bionic Prosthetics and Orthotics Group LLC
• Bioxpress Labs LLC
• Lauren Birago
• Chelsea Leander Birch, ND
• Michele Noele Birch, MD
• Amber Bird, BCBA
• Camilla Bird
• Jason Bird, PH.D.
• Kimberly D. Bird, MSW
• Laura Lily Bird, PA

• Psychiatric/Mental Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.