Organization Active NPI

Mended Hope Therapy, PLLC

  • Clinical Psychologist
  • Hillsborough, NC
National Provider Identifier
1992499123
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MENDED HOPE THERAPY, PLLC
Practice address
960 Corporate Dr Ste 201
Hillsborough, NC 27278-8560
Phone
(919) 228-9098
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Dr. Charles Jardin, PHD, MDIVNPI 1770133548
Title
Psychologist/Business Owner
Phone
(919) 672-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

960 Corporate Dr Ste 201
Hillsborough, NC 27278-8560

Mailing address

960 Corporate Dr Ste 201
Hillsborough, NC 27278-8560
Phone (919) 228-9098

National Provider Directory

National Provider Directory

Locations

960 Corporate Dr
Ste 201
Hillsborough, NC 27278
Phone (919) 228-9098

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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1992499123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CORPORATE DR STE 201",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788560",
            "telephone_number": "919-228-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CORPORATE DR STE 201",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788560",
            "telephone_number": "919-228-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HOPE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "JARDIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PSYCHOLOGIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "919-672-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MDIV"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.