Organization Active NPI

Castleberry & Associates, Inc.

  • Clinical Psychologist
  • Charlotte, NC
National Provider Identifier
1972675437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2774 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6005213MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & 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

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.

Verify at the official NPI Registry.