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SEASIDE PSYCHOLOGICAL ASSESSMENTS AND RESOURCES FOR KIDS PLLC
NPI 1902773682
Psychologist - Clinical Child & Adolescent in Shallotte, NC

Active since October 20, 2025
4902 MAIN ST STE D, SHALLOTTE, NC 28470(910) 754-2289 Get Directions Write a Review

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

About Seaside Psychological Assessments And Resources For Kids Pllc NPPES

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

SEASIDE PSYCHOLOGICAL ASSESSMENTS AND RESOURCES FOR KIDS PLLC (NPI 1902773682), doing business as Sparkids, is a healthcare organization registered as a clinical child & adolescent in Shallotte, North Carolina and active in the NPI registry since October 2025. The organization lists Tia Cornwall, Partner, as its authorized official.

NPPES Registry Identity

NPI1902773682
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameSEASIDE PSYCHOLOGICAL ASSESSMENTS AND RESOURCES FOR KIDS PLLC
Location Address4902 MAIN ST STE DShallotte, NC 28470-4749
Mailing AddressPo Box 1023Shallotte, NC 28459-1023
Phone(910) 754-2289
Organization SubpartNo
Authorized OfficialTia CornwallPartner · (540) 314-0606
Enumeration DateOctober 20, 2025
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1902773682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
4902 MAIN ST STE D, Shallotte, NC 28470
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Other Names 1

Doing Business AsSparkids

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 2

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

TIA CORNWALL ED.S., LPA
Psychologist (Clinical Child & Adolescent)
4902 MAIN ST STE D
SHALLOTTE, NC 28470
Brunswick County (910) 754-2289
TERESA KENNEY MA, CCC-SLP
Speech-Language Pathologist
4902 MAIN ST STE D
SHALLOTTE, NC 28470
Brunswick County (910) 754-3484

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 Seaside Psychological Assessments And Resources For Kids PLLC's NPI number?

The NPI number for Seaside Psychological Assessments And Resources For Kids PLLC is 1902773682. It was assigned to this organization in the NPPES registry on October 20, 2025. The provider is doing business as SPARKids.

Where is Seaside Psychological Assessments And Resources For Kids PLLC located?

Seaside Psychological Assessments And Resources For Kids PLLC is located at 4902 Main St Ste D, Shallotte, NC 28470. The listed phone number is (910) 754-2289.

What is Seaside Psychological Assessments And Resources For Kids PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Seaside Psychological Assessments And Resources For Kids PLLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.