SOUTHEAST PSYCHOLOGICAL SERVICES PLLC
NPI 1407090707
Psychologist - Clinical in Charlotte, NC

Q: What is Southeast Psychological Services PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 30, 2009

8840 BLAKENEY PROFESSIONAL DR, SUITE 200, CHARLOTTE, NC 28277(704) 552-0116(704) 552-7550 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeast Psychological Services Pllc NPPES

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

SOUTHEAST PSYCHOLOGICAL SERVICES PLLC (NPI 1407090707) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since April 2009. The organization lists Janet H Iyoob, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407090707

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTHEAST PSYCHOLOGICAL SERVICES PLLC

Location Address8840 BLAKENEY PROFESSIONAL DR, SUITE 200Charlotte, NC 28277-6718

Mailing Address6115 Park South Dr, Suite 130Charlotte, NC 28210-3269 · (704) 552-0116 · Fax (704) 552-7550

Phone(704) 552-0116

Fax(704) 552-7550

Organization SubpartNo

Authorized OfficialJanet H IyoobCfo · (704) 552-0116

Enumeration DateApril 30, 2009

✔ NPI 1407090707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 5021

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8840 BLAKENEY PROFESSIONAL DR, Charlotte, NC 28277

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Other Identifiers 2

Medicaid6005111NC

Medicare PIN2819904NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

JENNIFER E MCCONNELL ED.S., LPA

Psychologist

8840 BLAKENEY PROFESSIONAL DR, SUITE 200
CHARLOTTE, NC 28277

Mecklenburg County (704) 552-0116

OWEIDA AND CHRISTIAN ORTHOPAEDICS & SPORTS MED,P.A.

Specialist

8840 BLAKENEY PROFESSIONAL DR, SUITE 102
CHARLOTTE, NC 28277

Mecklenburg County (704) 714-1401

ORTHOCAROLINA, PA

Orthopaedic Surgery

8840 BLAKENEY PROFESSIONAL DR, SUITE 102
CHARLOTTE, NC 28277

Mecklenburg County (704) 323-2000

RYAN MICHAEL KELLY PH.D.

Psychologist (Clinical Child & Adolescent)

8840 BLAKENEY PROFESSIONAL DR, SUITE 200
CHARLOTTE, NC 28277

Mecklenburg County (704) 970-4791

TRACY REBEKAH DOBBINS BARCOTT PH. D.

Psychologist

8840 BLAKENEY PROFESSIONAL DR, SUITE 200
CHARLOTTE, NC 28277

Mecklenburg County (704) 552-0116

DR. JONATHAN HUNTER DAWSON DMD

Dentist (Prosthodontics)

8840 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277

Mecklenburg County (704) 716-9840

CAROLINAS PHYSICIANS NETWORK INC

Internal Medicine

8840 BLAKENEY PROFESSIONAL DR, STE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 667-2340

JOSHUA S JENSEN LMFTA

Marriage & Family Therapist

8840 BLAKENEY PROFESSIONAL DR, SUITE 200
CHARLOTTE, NC 28277

Mecklenburg County (704) 552-0116

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 Southeast Psychological Services PLLC's NPI number?

The NPI number for Southeast Psychological Services PLLC is 1407090707. It was assigned to this organization in the NPPES registry on April 30, 2009.

Where is Southeast Psychological Services PLLC located?

Southeast Psychological Services PLLC is located at 8840 Blakeney Professional Dr Suite 200, Charlotte, NC 28277. The listed phone number is (704) 552-0116.

What is Southeast Psychological Services PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Southeast Psychological Services PLLC was last updated on April 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.