| University Psychological Associates, P.a. | |
|
10001 Old Concord Road Charlotte NC 28213 | |
| (704) 547-1483 | |
| (704) 547-0052 |
| Full Name | University Psychological Associates, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 10001 Old Concord Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Amanda Greene Adams (PRACTICE MANAGER) |
| Authorized Official Contact | 7045471483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Psychological Associates, P.a. 10001 Old Concord Rd Charlotte NC 28213-3646 Ph: (704) 547-1483 | University Psychological Associates, P.a. 10001 Old Concord Road Charlotte NC 28213 Ph: (704) 547-1483 |
| NPI Number | 1023116910 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 9335187442 |
|---|---|
| Medicare Enrollment ID | O20050429000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023116910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1067 (North Carolina) | Primary |
| Provider Name | David F Oates |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447359393 PECOS PAC ID: 4486543683 Enrollment ID: I20040315000665 |
| Provider Name | Julie Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427157361 PECOS PAC ID: 9335315837 Enrollment ID: I20120105000183 |
| Provider Name | Faye Ellen Sultan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720167265 PECOS PAC ID: 7315985421 Enrollment ID: I20120105000204 |
| Provider Name | Kay F Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790123727 PECOS PAC ID: 9830333699 Enrollment ID: I20130917000352 |
| Provider Name | Heather C Mccarley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295856839 PECOS PAC ID: 5092070136 Enrollment ID: I20180521001445 |
| Provider Name | Brittany Hammonds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538549019 PECOS PAC ID: 1759628274 Enrollment ID: I20190122002841 |
| Provider Name | Shawn Trifoso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619410073 PECOS PAC ID: 7719383272 Enrollment ID: I20221129000568 |
| Provider Name | Blair Blair Harrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083159321 PECOS PAC ID: 7810439874 Enrollment ID: I20240605001783 |
| Provider Name | Brandon Kasza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790351476 PECOS PAC ID: 9830631498 Enrollment ID: I20240611001253 |
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