Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SALLY M DUFFY PHD
NPI 1396704458
Psychologist in Charlotte, NC

Active since March 18, 2006Opted out of Medicare · through Oct 1, 2027
6845 FAIRVIEW RD, SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS PA, CHARLOTTE, NC 28210(704) 442-9065(704) 969-1175 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sally M Duffy Phd NPPES

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

DR. SALLY M DUFFY PHD (NPI 1396704458) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (1683) and active in the NPI registry since March 2006. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1396704458
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SALLY M DUFFYCredential: PHD
Location Address6845 FAIRVIEW RD, SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS PACharlotte, NC 28210
Mailing Address6845 Fairview Rd, Southpark Behavioral Medicine Specialists PaCharlotte, NC 28210 · (704) 442-9065 · Fax (704) 969-1175
Fax(704) 969-1175
Sole ProprietorNo
Enumeration DateMarch 18, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1396704458 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 · 1683
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.
6845 FAIRVIEW RD, Charlotte, NC 28210

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. Sally M Duffy 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 October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Psychologist
6845 FAIRVIEW RD
CHARLOTTE, NC 28210
Psychiatry & Neurology (Psychiatry)
6845 FAIRVIEW RD
CHARLOTTE, NC 28210
Counselor (Professional)
6845 FAIRVIEW RD
CHARLOTTE, NC 28210
Psychiatry & Neurology (Psychiatry)
6845 FAIRVIEW RD
CHARLOTTE, NC 28210
Counselor
6845 FAIRVIEW RD
CHARLOTTE, NC 28210
Counselor (Mental Health)
6845 FAIRVIEW RD
CHARLOTTE, NC 28210
Social Worker (Clinical)
6845 FAIRVIEW RD
CHARLOTTE, NC 28210
Counselor (Professional)
6845 FAIRVIEW RD
CHARLOTTE, NC 28210

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 Sally Duffy's NPI number?

The NPI number for Sally Duffy is 1396704458. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Sally Duffy located?

Sally Duffy practices at 6845 Fairview Rd Southpark Behavioral Medicine Specialists PA, Charlotte, NC 28210. The listed phone number is (704) 442-9065.

What is Sally Duffy's specialty?

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

Is Sally Duffy enrolled in Medicare?

No. Sally Duffy has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sally Duffy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.