DR. SALLY M DUFFY PHD
NPI 1396704458
Psychologist in Charlotte, NC
NPI Status: Active since March 18, 2006
Contact Information
6845 FAIRVIEW RD
SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS PA
CHARLOTTE, NC
ZIP 28210
Phone: (704) 442-9065
Fax: (704) 969-1175
- Individual
- Female
- Psychologist
- Opted-Out Medicare
About SALLY DUFFY
This page provides the complete NPI Profile along with additional information for Sally Duffy, a provider established in Charlotte, North Carolina with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1396704458 assigned on March 2006. The practitioner's primary taxonomy code is 103T00000X with license number 1683 (NC). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1396704458
- Provider Name
- DR. SALLY M DUFFY PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6845 FAIRVIEW RD SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS PA CHARLOTTE, NC 28210
- Location Phone
- (704) 442-9065
- Location Fax
- (704) 969-1175
- Mailing Address
- 6845 FAIRVIEW RD SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS PA CHARLOTTE, NC 28210
- Mailing Phone
- (704) 442-9065
- Mailing Fax
- (704) 969-1175
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-18-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A psychologist like Sally Duffy studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Sally Duffy opted out of Medicare effective on 10-01-2021 until 10-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1683
- License State
- NC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2814634C | MEDICARE ID-TYPE UNSPECIFIED (04) | NC |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2021
Opt-Out End Date: 10-01-2025
Eligible to Order and Refer? No
Reviews for DR. SALLY M DUFFY PHD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 7 | 0 | 4 | 4 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 0 | 8 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 0 + 8 + 4 + 1 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1396704458 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962474205 | MS. CAROL A. KOLB MA, LMFT, LPC Individual | Counselor (Professional) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1770550444 | SARA L THOMPSON MSW LCSW Individual | Social Worker | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 366-8500 |
| 1437108651 | MRS. LINDA M SMITH MA, LPC, NCC Individual | Counselor (Professional) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1518036227 | PATRICIA K BOYER MD Individual | Psychiatry & Neurology (Psychiatry) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 442-9065 |
| 1932278298 | KAREN F PIERCE MSW, LCSW Individual | Social Worker (Clinical) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1598838187 | MRS. PATTY MEADOWS VIRKLER PHD LPC Individual | Counselor (Professional) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 366-5444 |
| 1942338140 | MS. ANNE BURLING BOWERS MSSW, LCSW, LCAS Individual | Counselor (Addiction (Substance Use Disorder)) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1780704759 | ELIZABETH ALLEN UPCHURCH LPC Individual | Counselor (Professional) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1902029739 | CHARLES EDWARD BUTLER LCSW Individual | Social Worker (Clinical) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1548421753 | DR. FRANCES PETTIGREW SNEPP PSY.D. Individual | Psychologist (Clinical) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 344-9495 |
| 1083876411 | DR. LANCE BOYD REGER MD Individual | Psychiatry & Neurology (Psychiatry) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 969-1147 |
| 1275771461 | AMANDA JERNIGAN SHANKS LPC Individual | Counselor | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 995-2365 |
| 1619298098 | OLGA PISARSKIY MA, LPCA Individual | Counselor (Professional) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1821379728 | LOTES NELSON LPC, NCC Individual | Counselor (Mental Health) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 965-2113 |
| 1730558503 | DEBORAH ANN SHUMATE MA, LPCA, NCC Individual | Counselor (Mental Health) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 593-6925 |
| 1588698559 | SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS, P.A. Organization | Psychiatry & Neurology (Psychiatry) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 442-1655 |
| 1598844409 | SARA THOMPSON MSW LCSW Organization | Social Worker (Clinical) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 366-8500 |
| 1043382229 | SOUTH PARK BEHAVIORAL Organization | Psychologist | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 442-9065 |
| 1760548382 | KAYE PALMER FULCHER MSW, LCSW Individual | Social Worker (Clinical) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (704) 364-4333 |
| 1275697286 | DR. ANGELA KAY LOUIE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 6845 FAIRVIEW RD CHARLOTTE, NC 28210 (980) 819-1807 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396704458, enumerated in the NPI registry as an "individual" on March 18, 2006
The provider is located at 6845 Fairview Rd Southpark Behavioral Medicine Specialists Pa Charlotte, Nc 28210 and the phone number is (704) 442-9065
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on October 01, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2025.
This NPI record was last updated on March 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.