PSYCHOLOGICAL MOBILE SERVICES, PA
NPI 1104179340
Psychologist in Wilson, NC

Active since October 25, 2012
2401 WOOTEN BLVD SW STE K, WILSON, NC 27893(919) 252-8896 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Psychological Mobile Services, Pa NPPES

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

PSYCHOLOGICAL MOBILE SERVICES, PA (NPI 1104179340) is a healthcare organization registered as a psychologist in Wilson, North Carolina and active in the NPI registry since October 2012. The organization lists Steven N Hannant, Ownder, as its authorized official.

NPPES Registry Identity

NPI1104179340
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePSYCHOLOGICAL MOBILE SERVICES, PA
Location Address2401 WOOTEN BLVD SW STE KWilson, NC 27893-4464
Mailing Address779 True Vine Rd NePikeville, NC 27863-8800 · (919) 252-8896
Organization SubpartNo
Authorized OfficialSteven N HannantOwnder · (919) 252-8896
Enumeration DateOctober 25, 2012
Last NPPES UpdateNovember 2, 2012
✔ NPI 1104179340 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 · 3681
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.
2401 WOOTEN BLVD SW STE K, Wilson, NC 27893

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychological Mobile Services, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Psychological Mobile Services, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Psychologist
NPI 1811013790
2401 WOOTEN BLVD SW SUITE K
Wilson, NC 27893
(252) 291-0735
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1134215031
2401 WOOTEN BLVD SW STE K
Wilson, NC 27893
(252) 291-0735
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1497780191
2401 WOOTEN BLVD SW STE K
Wilson, NC 27893
(252) 291-0735
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1730167461
158 ZILLICOA ST
Asheville, NC 28801
(919) 274-5630
✔ PECOS✔ Accepts Medicare260 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychological Mobile Services, PA's NPI number?

The NPI number for Psychological Mobile Services, PA is 1104179340. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Psychological Mobile Services, PA located?

Psychological Mobile Services, PA is located at 2401 Wooten Blvd SW Ste K, Wilson, NC 27893. The listed phone number is (919) 252-8896.

What is Psychological Mobile Services, PA's specialty?

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

Is Psychological Mobile Services, PA enrolled in Medicare?

Yes. Psychological Mobile Services, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological Mobile Services, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Psychological Mobile Services, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (3) and Clinical Social Worker (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychological Mobile Services, PA was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.