DR. STEPHANIE HOSFORD PSYD
NPI 1639844996
Psychologist in Charlotte, NC

Active since August 10, 2021Opted out of Medicare · through Sep 22, 2026
1515 MOCKINGBIRD LN STE 580, CHARLOTTE, NC 28209(704) 910-8381(704) 981-8282 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2022, Aug 10, 2021 (2 updates tracked since 2021).

About Dr. Stephanie Hosford Psyd NPPES

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

DR. STEPHANIE HOSFORD PSYD (NPI 1639844996) is an individual psychologist in Charlotte, North Carolina and active in the NPI registry since August 2021. She has opted out of Medicare through September 22, 2026.

NPPES Registry Identity

NPI1639844996
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEPHANIE HOSFORDCredential: PSYD
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 DateAugust 10, 2021
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
NPI 1639844996 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

Dr. Stephanie Hosford Psyd 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 September 22, 2022 through September 22, 2026.

Opt-Out Effective DateSeptember 22, 2022
Opt-Out In Effect ThroughSeptember 22, 2026Opt-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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639844996, enumerated as an "individual" on August 10, 2021.

The provider is located at 1515 MOCKINGBIRD LN STE 580 CHARLOTTE, NC 28209 and the phone number is (704) 910-8381.

Psychologist with taxonomy code 103T00000X.