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DR. NICOLE LACOSTE CANTLEY PH.D.
NPI 1558533968
Psychologist - Clinical in Charlotte, NC

Active since March 25, 2008Opted out of Medicare · through Jan 1, 2028
2101 SARDIS RD N, SUITE 220, CHARLOTTE, NC 28227(704) 841-1163(704) 841-1164 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Lacoste Cantley Ph.d. NPPES

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

DR. NICOLE LACOSTE CANTLEY PH.D. (NPI 1558533968) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (3520) and active in the NPI registry since March 2008. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1558533968
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLE LACOSTE CANTLEYCredential: PH.D.
Location Address2101 SARDIS RD N, SUITE 220Charlotte, NC 28227
Mailing Address2101 Sardis Rd N, Suite 220Charlotte, NC 28227 · (704) 841-1163 · Fax (704) 841-1164
Phone(704) 841-1163
Fax(704) 841-1164
Sole ProprietorNo
Enumeration DateMarch 25, 2008
Last NPPES UpdateMay 23, 2018
✔ NPI 1558533968 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 · 3520
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.
2101 SARDIS RD N, Charlotte, NC 28227
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Other Names 1

Former Name (1)Nicole Marie Lacoste

Secondary Practice Location 1

Location 11811 Sardis Rd N, Suite 207Charlotte, NC 28270-1426 · Phone (704) 841-1163 · Fax (704) 841-1164

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. Nicole Lacoste Cantley Ph.d. 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 January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

CAROLINA SPEECH SERVICES, INC.
Speech-Language Pathologist
2101 SARDIS RD N, STE 112
CHARLOTTE, NC 28227
Mecklenburg County (704) 488-5104
DR. DAVID YU DDS
Dentist (General Practice)
2101 SARDIS RD N, SUITE 105
CHARLOTTE, NC 28227
Mecklenburg County (704) 847-7730
MRS. AMY KING MSCCC-SLP
Speech-Language Pathologist
2101 SARDIS RD N, SUITE 112
CHARLOTTE, NC 28227
Mecklenburg County (704) 845-6134
KAREN BRAGG DSLP
Speech-Language Pathologist
2101 SARDIS RD N, SUITE 112
CHARLOTTE, NC 28227
Mecklenburg County (704) 845-6134
MS. LORI M. BADGLEY MA, CCC-SLP
Speech-Language Pathologist
2101 SARDIS RD N, SUITE 112
CHARLOTTE, NC 28227
Mecklenburg County (704) 845-6134
SECURING RESOURCES FOR CONSUMERS, INC.
Community/Behavioral Health
2101 SARDIS RD N
CHARLOTTE, NC 28227
Mecklenburg County (704) 443-7183
ERIN FLINN KINGSTON LCWSA
Social Worker (Clinical)
2101 SARDIS RD N
CHARLOTTE, NC 28227
Mecklenburg County (704) 737-0214
PATRICIA A BEVERLY M.A.CCC-SP
Speech-Language Pathologist
2101 SARDIS RD N, SUITE 112
CHARLOTTE, NC 28227
Mecklenburg County (704) 845-6134

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 Nicole Cantley's NPI number?

The NPI number for Nicole Cantley is 1558533968. It was assigned to this individual provider in the NPPES registry on March 25, 2008. The provider is also known as Nicole Marie Lacoste.

Where is Nicole Cantley located?

Nicole Cantley practices at 2101 Sardis Rd N Suite 220, Charlotte, NC 28227. The listed phone number is (704) 841-1163.

What is Nicole Cantley's specialty?

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

Is Nicole Cantley enrolled in Medicare?

No. Nicole Cantley has opted out of Medicare through January 1, 2028. 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 Nicole Cantley was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.