Active NPI
Susan Yvonne Meador, LPA
- Clinical Psychologist
- Kinston, NC
National Provider Identifier
1972833762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1819
- Practice address
- 2902 N Herritage St
B
Kinston, NC 28501-1580 - Phone
- (252) 520-6740
- Fax
- (252) 520-0034
- NPI assigned
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1819 | NC | Primary |
Addresses
Primary practice location
2902 N Herritage St
B
Kinston, NC 28501-1580
Mailing address
2902 N Herritage St
B
Kinston, NC 28501-1580
Phone (252) 520-6740
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1972833762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 N HERRITAGE ST",
"address_2": "B",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011580",
"telephone_number": "252-520-6740",
"fax_number": "252-520-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 N HERRITAGE ST",
"address_2": "B",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011580",
"telephone_number": "252-520-6740",
"fax_number": "252-520-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOR",
"first_name": "SUSAN",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.