CAROLINA PSYCH GROUP, PA
NPI 1730131863
Psychologist - Clinical in Statesville, NC

Active since May 17, 2006
515 BROOKDALE DR, STATESVILLE, NC 28677(704) 873-1697 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Psych Group, Pa NPPES

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

CAROLINA PSYCH GROUP, PA (NPI 1730131863) is a healthcare organization registered as a clinical in Statesville, North Carolina and active in the NPI registry since May 2006. The organization lists James A Powell, Ceo/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1730131863
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCAROLINA PSYCH GROUP, PA
Location Address515 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address515 Brookdale DrStatesville, NC 28677-4107 · (704) 873-1697
Organization SubpartNo
Authorized OfficialJames A PowellCeo/clinical Psychologist · (704) 873-1697
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1730131863 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 · 633
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.
515 BROOKDALE DR, Statesville, NC 28677

Other Identifiers 1

Medicaid6005112NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
515 BROOKDALE DR
STATESVILLE, NC 28677
Specialist
515 BROOKDALE DR
STATESVILLE, NC 28677
Psychologist
515 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Practitioner (Psychiatric/Mental Health)
515 BROOKDALE DR
STATESVILLE, NC 28677
Social Worker (Clinical)
515 BROOKDALE DR
STATESVILLE, NC 28677
Psychologist
515 BROOKDALE DR
STATESVILLE, NC 28677
Clinic/Center (Adult Mental Health)
515 BROOKDALE DR
STATESVILLE, NC 28677
Counselor (Addiction (Substance Use Disorder))
515 BROOKDALE DR
STATESVILLE, NC 28677

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 Carolina Psych Group, PA's NPI number?

The NPI number for Carolina Psych Group, PA is 1730131863. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Carolina Psych Group, PA located?

Carolina Psych Group, PA is located at 515 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 873-1697.

What is Carolina Psych Group, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Carolina Psych Group, PA 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 5 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.