SOUTHEASTERN PSYCHOLOGICAL SERVICES
NPI 1952301079
Specialist in Fairmont, NC

Active since July 29, 2005
302 N MAIN ST, FAIRMONT, NC 28340(910) 628-6718(910) 628-6719 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Southeastern Psychological Services NPPES

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

SOUTHEASTERN PSYCHOLOGICAL SERVICES (NPI 1952301079) is a healthcare organization registered as a specialist in Fairmont, North Carolina and active in the NPI registry since July 2005. The organization lists Linda Oliver-link, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1952301079
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN PSYCHOLOGICAL SERVICES
Location Address302 N MAIN STFairmont, NC 28340-1730
Mailing Address302 N Main St, Po Box 369Fairmont, NC 28340-1730 · (910) 628-6718 · Fax (910) 628-6719
Fax(910) 628-6719
Organization SubpartNo
Authorized OfficialLinda Oliver-linkAdministrative Director · (910) 682-6718
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1952301079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

302 N MAIN ST, Fairmont, NC 28340

Other Identifiers 3

Other0384MNC · Bcbs
Other1318HNC · Bcbs
Medicaid6005435NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Counselor
302 N MAIN ST
FAIRMONT, NC 28340
Day Training, Developmentally Disabled Services
302 N MAIN ST
FAIRMONT, NC 28340
Clinical Neuropsychologist
302 N MAIN ST
FAIRMONT, NC 28340
Community/Behavioral Health
302 N MAIN ST
FAIRMONT, NC 28340
Psychologist
302 N MAIN ST
FAIRMONT, NC 28340
Specialist
302 N MAIN ST
FAIRMONT, NC 28340
Psychologist
302 N MAIN ST
FAIRMONT, NC 28340
Home Health
302 N MAIN ST
FAIRMONT, NC 28340

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 Southeastern Psychological Services's NPI number?

The NPI number for Southeastern Psychological Services is 1952301079. It was assigned to this organization in the NPPES registry on July 29, 2005.

Where is Southeastern Psychological Services located?

Southeastern Psychological Services is located at 302 N Main St, Fairmont, NC 28340. The listed phone number is (910) 628-6718.

What is Southeastern Psychological Services's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeastern Psychological Services was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.