SOUTHEAST PSYCHOLOGICAL SERVICES, PLLC
NPI 1811053218
Psychologist in Charlotte, NC

Active since December 29, 2006
6060 PIEDMONT ROW DR S, SUITE 120, CHARLOTTE, NC 28287(704) 552-0116(704) 552-7550 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeast Psychological Services, Pllc NPPES

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

SOUTHEAST PSYCHOLOGICAL SERVICES, PLLC (NPI 1811053218) is a healthcare organization registered as a psychologist in Charlotte, North Carolina and active in the NPI registry since December 2006. The organization lists Frank W Gaskill, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1811053218
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSOUTHEAST PSYCHOLOGICAL SERVICES, PLLC
Location Address6060 PIEDMONT ROW DR S, SUITE 120Charlotte, NC 28287-3884
Mailing Address6060 Piedmont Row Dr S, Suite 120Charlotte, NC 28287-3884 · (704) 552-0116 · Fax (704) 552-7550
Fax(704) 552-7550
Organization SubpartNo
Authorized OfficialFrank W GaskillManaging Partner · (704) 552-0116
Enumeration DateDecember 29, 2006
Last NPPES UpdateNovember 25, 2014
✔ NPI 1811053218 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 · CO5021
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.
6060 PIEDMONT ROW DR S, Charlotte, NC 28287

Other Identifiers 2

Medicare ID-Type Unspecified2819904NC
Medicaid6005111NC

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Psychological Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southeast Psychological Services, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1699859678
5970 FAIRVIEW RD STE 575
Charlotte, NC 28210
(704) 499-9700
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1336786680
20079 STONE OAK PKWY STE 1275
San Antonio, TX 78258
(210) 481-3727
✔ PECOS✔ Accepts Medicare1,097 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southeast Psychological Services, PLLC's NPI number?

The NPI number for Southeast Psychological Services, PLLC is 1811053218. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Southeast Psychological Services, PLLC located?

Southeast Psychological Services, PLLC is located at 6060 Piedmont Row Dr S Suite 120, Charlotte, NC 28287. The listed phone number is (704) 552-0116.

What is Southeast Psychological Services, PLLC's specialty?

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

Is Southeast Psychological Services, PLLC enrolled in Medicare?

Yes. Southeast Psychological Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Psychological Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southeast Psychological Services, PLLC, in Clinical Psychologist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Psychological Services, PLLC was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.