Youth/Adult Care Management
NPI 1952487522ActiveOrganization· Psychologist, Clinical· Kannapolis, NC
Psychologist, Clinical in Kannapolis, North Carolina, registered in NPPES in October 2006. The authorized official on file is Chon Black, Executive Director.
Overview
| NPI | 1952487522 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical psychologists in Kannapolis
- 1073884516
- 1053346742