GARY RYAN PAGE MA
NPI 1609597806
Psychologist in Charlotte, NC

Active since September 06, 2022Opted out of Medicare · through Oct 31, 2027
1515 MOCKINGBIRD LN STE 580, CHARLOTTE, NC 28209(704) 910-8381(704) 981-8282 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Ryan Page Ma NPPES

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

GARY RYAN PAGE MA (NPI 1609597806) is an individual psychologist in Charlotte, North Carolina and active in the NPI registry since September 2022. He has opted out of Medicare through October 31, 2027.

NPPES Registry Identity

NPI1609597806
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameGARY RYAN PAGECredential: MA
Location Address1515 MOCKINGBIRD LN STE 580Charlotte, NC 28209-1171
Mailing Address1515 Mockingbird Ln Ste 580Charlotte, NC 28209-1171 · (704) 910-8381 · Fax (704) 981-8282
Fax(704) 981-8282
Sole ProprietorNo
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
NPI 1609597806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
1515 MOCKINGBIRD LN STE 580, Charlotte, NC 28209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Gary Ryan Page Ma 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 31, 2023 through October 31, 2027.

Opt-Out Effective DateOctober 31, 2023
Opt-Out In Effect ThroughOctober 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209

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 Gary Page's NPI number?

The NPI number for Gary Page is 1609597806. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Gary Page located?

Gary Page practices at 1515 Mockingbird Ln Ste 580, Charlotte, NC 28209. The listed phone number is (704) 910-8381.

What is Gary Page's specialty?

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

Is Gary Page enrolled in Medicare?

No. Gary Page has opted out of Medicare through October 31, 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 Gary Page was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.