Active NPI
Castleberry & Associates, Inc.
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1972675437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2774
- Legal business name
- CASTLEBERRY & ASSOCIATES, INC.
- Practice address
- 941 Foxborough Rd
Charlotte, NC 28213-5765 - Phone
- (980) 253-6150
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eleanor Castleberry, PH.D.
- Title
- Licensed Psychologist
- Phone
- (980) 253-6150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2774 | NC | Primary |
Addresses
Primary practice location
941 Foxborough Rd
Charlotte, NC 28213-5765
Mailing address
PO Box 637
Newell, NC 28126-0637
Phone (980) 253-6150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005213 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972675437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637",
"city": "NEWELL",
"state": "NC",
"postal_code": "281260637",
"telephone_number": "980-253-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 FOXBOROUGH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282135765",
"telephone_number": "980-253-6150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASTLEBERRY & ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CASTLEBERRY",
"authorized_official_first_name": "ELEANOR",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "980-253-6150",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005213",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Leslie Castillo Navia, FNP
- Miriam Arminda Castillo-Toher, MD
- Raymond G Castillo, MA, LMFT, LCAS-A
- Casting Down Strongholds Transitional Housing & Community Services
- Magdalena Castle
- Sarah Michelle Castoro, M.ED. CCC-SLP
- Marchella Castrenze
- Jennifer Castro-Pruett, R.N.
- Angely Castro
- Claudelina Castro, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.