JACITA BOOKER PETWAY PSY.D.
NPI 1477796316
Psychologist in Huntersville, NC

Active since April 08, 2009PECOS EnrolledAccepts Medicare Assignment
13815 PROFESSIONAL CENTER DR STE 100, HUNTERSVILLE, NC 28078(704) 384-1320 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, May 25, 2017, May 11, 2017 (3 updates tracked since 2017).

About Jacita Booker Petway Psy.d. NPPES

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

JACITA BOOKER PETWAY PSY.D. (NPI 1477796316) is an individual psychologist in Huntersville, North Carolina, licensed in North Carolina (7089) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albemarle, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1477796316
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACITA BOOKER PETWAYCredential: PSY.D.
Location Address13815 PROFESSIONAL CENTER DR STE 100Huntersville, NC 28078-7951
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 8, 2009
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1477796316 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 · 7089
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.

13815 PROFESSIONAL CENTER DR STE 100, Huntersville, NC 28078

Secondary Practice Location 1

Location 11000 N 1st St Ste 1Albemarle, NC 28001-2819 · Phone (704) 938-2117 · Fax (704) 938-2636

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacita Booker Petway Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810159027
PECOS Enrollment IDI20121019000685
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078
Social Worker (Clinical)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078
Social Worker (Clinical)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078
Social Worker (Clinical)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078
Counselor (Mental Health)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078
Psychiatry & Neurology (Psychiatry)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078
Social Worker (Clinical)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078
Social Worker (Clinical)
13815 PROFESSIONAL CENTER DR STE 100
HUNTERSVILLE, NC 28078

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 Jacita Petway's NPI number?

The NPI number for Jacita Petway is 1477796316. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Jacita Petway located?

Jacita Petway practices at 13815 Professional Center Dr Ste 100, Huntersville, NC 28078. The listed phone number is (704) 384-1320.

What is Jacita Petway's specialty?

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

Is Jacita Petway enrolled in Medicare?

Yes. Jacita Petway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacita Petway accept?

Health plans from Blue Cross and Blue Shield of NC list Jacita Petway 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 Jacita Petway was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.