Sound Psychologial Services, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1633640 Issued in NC

Legal business name

SOUND PSYCHOLOGIAL SERVICES, PA

Practice address

3317 Masonboro Loop Rd Unit 160
Wilmington, NC 28409-2970

Phone

(910) 538-5334

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Kim Lynne Miller-Urban, LPA

Title

Psychologist

Phone

(910) 538-5334

Specialties & licenses 1

Addresses

Tax ID family

Sound Psychologial Services PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sound Psychologial Services, PA

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1306669494
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberlee Lynne Miller-Urban, MA. EDS

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1104973890
  NPD

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1982117669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N GADWALL CT",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437159",
            "telephone_number": "910-538-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 MASONBORO LOOP RD UNIT 160",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092970",
            "telephone_number": "910-538-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND PSYCHOLOGIAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "MILLER-URBAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-538-5334",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "1633640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Sottile
• Lisa Marie Sottung, PT
• Soul of a Woman Support Services
• Soulshine Counseling PLLC
• Sound Psychologial Services, PA
• Adele Soutar, MD
• Mollie-Williams Moss Southard, LCSW
• Shirley W Southard
• Southcare Community Service, Inc
• Southcare Minute Clinic Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.