BASE, PLLC
NPI 1265936108
Psychologist in Charlotte, NC

Active since March 23, 2018
1515 MOCKINGBIRD LN STE 580, CHARLOTTE, NC 28209(704) 910-8381(704) 981-8282 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2019, Nov 8, 2018, Oct 16, 2018 and 2 more (5 updates tracked since 2018).

About Base, Pllc NPPES

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

BASE, PLLC (NPI 1265936108) is a healthcare organization registered as a psychologist in Charlotte, North Carolina and active in the NPI registry since March 2018. The organization lists Andrea Umbach Kettling, Co-owner/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1265936108
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBASE, PLLC
Location Address1515 MOCKINGBIRD LN STE 580Charlotte, NC 28209-3236
Mailing Address1515 Mockingbird Ln Ste 580Charlotte, NC 28209-3236 · (704) 910-8381 · Fax (704) 981-8282
Fax(704) 981-8282
Organization SubpartNo
Authorized OfficialAndrea Umbach KettlingCo-owner/licensed Psychologist · (704) 910-8381
Enumeration DateMarch 23, 2018
Last NPPES UpdateAugust 6, 20195 updates tracked since enumeration
NPI 1265936108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
1515 MOCKINGBIRD LN STE 580, Charlotte, NC 28209

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

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

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 Base, PLLC's NPI number?

The NPI number for Base, PLLC is 1265936108. It was assigned to this organization in the NPPES registry on March 23, 2018.

Where is Base, PLLC located?

Base, PLLC is located at 1515 Mockingbird Ln Ste 580, Charlotte, NC 28209. The listed phone number is (704) 910-8381.

What is Base, PLLC'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 Base, PLLC was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.