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NORTHRIDGE PSYCHOLOGICAL SERVICE PC NPI 1114127024


NPI Information

NPI: 1114127024
Provider Name: NORTHRIDGE PSYCHOLOGICAL SERVICE PC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2301 STONEHENGE DR STE 202
RALEIGH, NC
ZIP 27615
Phone: (919) 847-2197
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NORTHRIDGE PSYCHOLOGICAL SERVICE PC is an adult mental health clinic center in Raleigh, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NORTHRIDGE PSYCHOLOGICAL SERVICE PC NPI is 1114127024. The provider is registered as an organization entity type.

The provider's business location address is:

2301 STONEHENGE DR STE 202
RALEIGH, NC
ZIP 27615-378
Phone: (919) 847-2197
Fax: (919) 846-7748

The provider's authorized official is James Thomas English .
The authorized official title is Owner and has the following contact phone number (919) 847-2197.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health1417NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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