Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SEASIDE PSYCHOLOGICAL ASSESSMENTS AND RESOURCES FOR KIDS PLLC
NPI 1902773682
Psychologist 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: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 10, 2026, Mar 6, 2026 (2 updates tracked since 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 psychologist 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 Taxonomy103T00000X
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
Organization SubpartNo
Authorized OfficialTia CornwallPartner · (540) 314-0606
Enumeration DateOctober 20, 2025
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
NPI 1902773682 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.
4902 MAIN ST STE D, Shallotte, NC 28470

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.

Psychologist
4902 MAIN ST STE D
SHALLOTTE, NC 28470
Speech-Language Pathologist
4902 MAIN ST STE D
SHALLOTTE, NC 28470

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 with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Seaside Psychological Assessments And Resources For Kids PLLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.