DR. AMY SMITH MCNULTY PHD, LCSW
NPI 1306804828
Psychologist in Charlotte, NC

Active since May 03, 2006Opted out of Medicare · through Apr 11, 2027
3541 RANDOLPH ROAD, SUITE 102, CHARLOTTE, NC 28211(704) 366-6969(704) 366-6464 Get Directions Write a Review

NPPES record last updated: April 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amy Smith Mcnulty Phd, Lcsw NPPES

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

DR. AMY SMITH MCNULTY PHD, LCSW (NPI 1306804828) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (1972) and active in the NPI registry since May 2006. She has opted out of Medicare through April 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306804828
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMY SMITH MCNULTYCredential: PHD, LCSW
Location Address3541 RANDOLPH ROAD, SUITE 102Charlotte, NC 28211
Mailing Address3541 Randolph Road, Suite 102Charlotte, NC 28211 · (704) 366-6969 · Fax (704) 366-6464
Fax(704) 366-6464
Sole ProprietorYes
Enumeration DateMay 3, 2006
Last NPPES UpdateApril 8, 2010
NPI 1306804828 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 · 1972
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.
3541 RANDOLPH ROAD, Charlotte, NC 28211

Other Identifiers 1

Other03128NC · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Amy Smith Mcnulty Phd, Lcsw 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 April 11, 2013 through April 11, 2027.

Opt-Out Effective DateApril 11, 2013
Opt-Out In Effect ThroughApril 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Surgical)
3541 RANDOLPH ROAD, SUITE 210
CHARLOTTE, NC 28211
Social Worker (Clinical)
3541 RANDOLPH ROAD, SUITE 206
CHARLOTTE, NC 28211
Nurse Practitioner (Family)
3541 RANDOLPH ROAD, SUITE 206
CHARLOTTE, NC 28211

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 Amy Mcnulty's NPI number?

The NPI number for Amy Mcnulty is 1306804828. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Amy Mcnulty located?

Amy Mcnulty practices at 3541 Randolph Road Suite 102, Charlotte, NC 28211. The listed phone number is (704) 366-6969.

What is Amy Mcnulty's specialty?

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

Is Amy Mcnulty enrolled in Medicare?

No. Amy Mcnulty has opted out of Medicare through April 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Amy Mcnulty accept?

Health plans from Blue Cross and Blue Shield of NC list Amy Mcnulty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Mcnulty was last updated on April 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.