Individual provider Active NPI

Emma Kate Wright Reif, PH.D.

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1972086460
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5408 Issued in NC
Practice address
6135 Park South Dr Ste 130
Charlotte, NC 28210-3270
Phone
(704) 312-2045
NPI assigned
Sep 11, 2018
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1683 SC
Psychologist 103T00000X 5408 NC Primary

Addresses

Primary practice location

6135 Park South Dr Ste 130
Charlotte, NC 28210-3270

Mailing address

6135 Park South Dr Ste 130
Charlotte, NC 28210-3270
Phone (704) 641-8601

Other practice location 1

2706 Cregstone Way
Fort Mill, SC 29715-5016
Phone (704) 641-8601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5408NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1972086460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103270",
            "telephone_number": "704-641-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103270",
            "telephone_number": "704-312-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2706 Cregstone Way",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297155016",
            "country_code": "US",
            "telephone_number": "704-641-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIF",
        "first_name": "EMMA KATE",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "1683",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.