ROANOKE RAPIDS GRADED SCHOOL DISTRICT
NPI 1407999899
Psychologist - Clinical Child & Adolescent in Roanoke Rapids, NC

Q: What is Roanoke Rapids Graded School District's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since February 15, 2007CLIA 34D0968309 · Waiver

536 HAMILTON ST, ROANOKE RAPIDS, NC 27870(252) 519-7108(252) 535-5919 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Roanoke Rapids Graded School District NPPES

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

ROANOKE RAPIDS GRADED SCHOOL DISTRICT (NPI 1407999899) is a healthcare organization registered as a clinical child & adolescent in Roanoke Rapids, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Ellen R Burnett, Mental Health Director, as its authorized official.

NPPES Registry Identity

NPI1407999899

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameROANOKE RAPIDS GRADED SCHOOL DISTRICT

Location Address536 HAMILTON STRoanoke Rapids, NC 27870-2702

Mailing Address536 Hamilton StRoanoke Rapids, NC 27870-2702 · (252) 519-7108 · Fax (252) 535-5919

Phone(252) 519-7108

Fax(252) 535-5919

Organization SubpartNo

Authorized OfficialEllen R BurnettMental Health Director · (252) 519-7108

Enumeration DateFebruary 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407999899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NC · 0693

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

536 HAMILTON ST, Roanoke Rapids, NC 27870

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0968309

Roanoke Rapids Graded School District · Roanoke Rapids, NC

Active · expires Dec 7, 2027

CLIA Number34D0968309

Laboratory TypeSchool/Student Health Service

Certificate Effective DateDecember 8, 2025

Certificate Expiration DateDecember 7, 2027

Laboratory DirectorSara Council

Laboratory Phone(252) 519-7100

Laboratory LocationRoanoke Rapids Graded School District536 Hamilton St, Roanoke Rapids, NC 27870

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. JULIA MARY YOUNGBLOOD

Speech-Language Pathologist

536 HAMILTON ST
ROANOKE RAPIDS, NC 27870

Halifax County (252) 519-7103

ROANOKE RAPIDS GRADED SCHOOL DISTRICT

Speech-Language Pathologist

536 HAMILTON ST
ROANOKE RAPIDS, NC 27870

Halifax County (252) 519-7113

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 Roanoke Rapids Graded School District's NPI number?

The NPI number for Roanoke Rapids Graded School District is 1407999899. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Roanoke Rapids Graded School District located?

Roanoke Rapids Graded School District is located at 536 Hamilton St, Roanoke Rapids, NC 27870. The listed phone number is (252) 519-7108.

What is Roanoke Rapids Graded School District's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Does Roanoke Rapids Graded School District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0968309) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roanoke Rapids Graded School District was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.