EDH1 LLC
NPI 1942862552
Psychologist - Clinical in Charlotte, NC

Active since July 03, 2019
9027 TIBBLE CREEK WAY, CHARLOTTE, NC 28227(980) 297-0703 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychologist
  • Clinical

About EDH1 LLC

This page provides the complete NPI Profile along with additional information for Edh1 Llc, a provider established in Charlotte, North Carolina operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1942862552 assigned on July 2019. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Elston Derrek Hooper (Owner)

NPI
1942862552 Verify this NPI
Provider Name
EDH1 LLC
Entity Type
Organization
Location Address
9027 TIBBLE CREEK WAY CHARLOTTE, NC 28227
Location Phone
(980) 297-0703
Mailing Address
9027 TIBBLE CREEK WAY CHARLOTTE, NC 28227
Mailing Phone
(980) 297-0703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2019
Last Update Date
07-03-2019
Code Navigator

A clinical psychologist like Edh1 Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TH0100XBehavioral Health & Social Service Providers

Psychologist
Health Service

 
2302F00000XManaged Care Organizations

Exclusive Provider Organization

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ELSTON DERREK HOOPER

Authorized Official Title
OWNER
Authorized Official Phone
(980) 297-0703

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942862552, enumerated as an "organization" on July 03, 2019.

The provider is located at 9027 TIBBLE CREEK WAY CHARLOTTE, NC 28227 and the phone number is (980) 297-0703.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.