CMS-1500 Box 24J / 33a • NPI
1932897642
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103T00000X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
Box 32 Service Location & ZIP+4
7190 NC HWY 11, WILLARD, NC, 28478-7062
✓ 9-Digit EDI 837 ZIP+4 (28478-7062)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1932897642 (MIND OF HOPE PSYCHOLOGY SERVICES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1932897642 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | MIND OF HOPE PSYCHOLOGY SERVICES, INC. |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: 103T00000X (Psychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 7190 NC HWY 11, WILLARD, NC, 28478-7062 |
| Practice Telephone / Fax | Tel: (910) 441-7080 | Fax: (910) 441-7080 |
| Administrative Mailing Address | PO BOX 211, WILLARD, NC, 28478-0211 |
| Enumeration & Last Sync | Enumerated: 2023-05-01 | CMS Record Updated: 2023-05-01 |
| Authorized Official | MELVIN THOMAS (President & CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103T00000X)
What Does Taxonomy Code 103T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MIND OF HOPE PSYCHOLOGY SERVICES, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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