STEPHANIE RITA MCDONOUGH PHD
NPI 1215599766
Psychologist in Charlotte, NC

Active since July 05, 2019
100/100
CMS Quality Rating
1515 MOCKINGBIRD LN STE 580, CHARLOTTE, NC 28209(704) 910-8381(704) 981-8282 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 25, 2024, May 4, 2023, Mar 9, 2023 and 5 more (8 updates tracked since 2019).

About Stephanie Rita Mcdonough Phd NPPES

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

STEPHANIE RITA MCDONOUGH PHD (NPI 1215599766) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (6023) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1215599766
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTEPHANIE RITA MCDONOUGHCredential: PHD
Location Address1515 MOCKINGBIRD LN STE 580Charlotte, NC 28209-1171
Mailing Address1515 Mockingbird Ln Ste 580Charlotte, NC 28209-1171 · (704) 910-8381 · Fax (704) 981-8282
Fax(704) 981-8282
Sole ProprietorNo
Enumeration DateJuly 5, 2019
Last NPPES UpdateJune 25, 20248 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1215599766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NC · 6023 Licensed in FL · 10525
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.

1515 MOCKINGBIRD LN STE 580, Charlotte, NC 28209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Stephanie Rita Mcdonough Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2026.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
36 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist (Clinical)
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Counselor (Mental Health)
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Social Worker (Clinical)
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215599766, enumerated as an "individual" on July 05, 2019.

The provider is located at 1515 MOCKINGBIRD LN STE 580 CHARLOTTE, NC 28209 and the phone number is (704) 910-8381.

Psychologist with taxonomy code 103T00000X.