NORTHRIDGE PSYCHOLOGICAL SERVICE PC
NPI 1114127024
Clinic/Center - Adult Mental Health in Raleigh, NC

Active since July 19, 2007
2301 STONEHENGE DR STE 202, RALEIGH, NC 27615(919) 847-2197(919) 846-7748 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northridge Psychological Service Pc NPPES

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

NORTHRIDGE PSYCHOLOGICAL SERVICE PC (NPI 1114127024) is a healthcare organization registered as an adult mental health in Raleigh, North Carolina and active in the NPI registry since July 2007. The organization lists James Thomas English, Owner, as its authorized official.

NPPES Registry Identity

NPI1114127024
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameNORTHRIDGE PSYCHOLOGICAL SERVICE PC
Location Address2301 STONEHENGE DR STE 202Raleigh, NC 27615-4378
Mailing Address2301 Stonehenge Dr Ste 202Raleigh, NC 27615-4378 · (919) 847-2197 · Fax (919) 846-7748
Fax(919) 846-7748
Organization SubpartNo
Authorized OfficialJames Thomas EnglishOwner · (919) 847-2197
Enumeration DateJuly 19, 2007
✔ NPI 1114127024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NC · 1417
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2301 STONEHENGE DR STE 202, Raleigh, NC 27615

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northridge Psychological Service Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northridge Psychological Service PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1871520270
2301 STONEHENGE DR SUITE202
Raleigh, NC 27615
(919) 847-2197
✔ PECOS✔ Accepts MedicareSame address

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 Northridge Psychological Service PC's NPI number?

The NPI number for Northridge Psychological Service PC is 1114127024. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is Northridge Psychological Service PC located?

Northridge Psychological Service PC is located at 2301 Stonehenge Dr Ste 202, Raleigh, NC 27615. The listed phone number is (919) 847-2197.

What is Northridge Psychological Service PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Northridge Psychological Service PC enrolled in Medicare?

Yes. Northridge Psychological Service PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northridge Psychological Service PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Northridge Psychological Service PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northridge Psychological Service PC was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.