SRRC PSYCHOLOGY
NPI 1083615777
Psychologist in Fayetteville, NC

Active since August 03, 2005
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 609-6440(910) 609-5365 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Srrc Psychology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRRC PSYCHOLOGY (NPI 1083615777) is a healthcare organization registered as a psychologist in Fayetteville, North Carolina and active in the NPI registry since August 2005. The organization lists Joseph B Fiser, Vp Managed Care And Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1083615777
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSRRC PSYCHOLOGY
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 609-6448 · Fax (910) 609-7040
Fax(910) 609-5365
Organization SubpartNo
Authorized OfficialJoseph B FiserVp Managed Care And Revenue Cycle · (910) 615-5572
Enumeration DateAugust 3, 2005
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
NPI 1083615777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · H0213
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1638 OWEN DR, Fayetteville, NC 28304

Other Names 1

Doing Business AsSrrc Psychology

Other Identifiers 1

Medicaid6005389NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1638 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Srrc Psychology's NPI number?

The NPI number for Srrc Psychology is 1083615777. It was assigned to this organization in the NPPES registry on August 3, 2005.

Where is Srrc Psychology located?

Srrc Psychology is located at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 609-6440.

What is Srrc Psychology's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Srrc Psychology was last updated on December 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.