KIDS CENTRAL OF THE CAROLINAS, LLC
NPI 1952406845
Psychologist in Charlotte, NC

Active since September 14, 2006
4722 PARK RD, CHARLOTTE, NC 28209(704) 369-2502(704) 688-2961 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kids Central Of The Carolinas, Llc NPPES

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

KIDS CENTRAL OF THE CAROLINAS, LLC (NPI 1952406845) is a healthcare organization registered as a psychologist in Charlotte, North Carolina and active in the NPI registry since September 2006. The organization lists Kamilah Mcphail Mckissick, Clinical Director / Licensed Psycol, as its authorized official.

NPPES Registry Identity

NPI1952406845
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKIDS CENTRAL OF THE CAROLINAS, LLC
Location Address4722 PARK RDCharlotte, NC 28209
Mailing Address617 N. Summit AveCharlotte, NC 28216 · (704) 369-2502 · Fax (704) 688-2961
Fax(704) 688-2961
Organization SubpartNo
Authorized OfficialKamilah Mcphail MckissickClinical Director / Licensed Psycol · (980) 214-4281
Enumeration DateSeptember 14, 2006
Last NPPES UpdateNovember 15, 2016
NPI 1952406845 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.
4722 PARK RD, Charlotte, NC 28209

Other Identifiers 3

Medicaid6005230NC
Medicare ID-Type Unspecified2347538NC
Other016N5NC · Bcbsnc

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

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

Psychologist
4722 PARK RD
CHARLOTTE, NC 28209

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 Kids Central Of The Carolinas, LLC's NPI number?

The NPI number for Kids Central Of The Carolinas, LLC is 1952406845. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Kids Central Of The Carolinas, LLC located?

Kids Central Of The Carolinas, LLC is located at 4722 Park Rd, Charlotte, NC 28209. The listed phone number is (704) 369-2502.

What is Kids Central Of The Carolinas, LLC'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 Kids Central Of The Carolinas, LLC was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.