OrganizationActive
Psychotherapeutic Services
NPI 1366585135 · Rehabilitation Psychologist · Burlington, NC
Provider details
- NPI number
- 1366585135
- Entity type
- Organization
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Marcia Clendaniel, Billing Manager(410) 810-2465
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2260 S. Church St
Suite 303
Burlington, NC 27215
Phone: (336) 538-6990
Fax: (336) 538-6991
Street-level locationGet directions
Mailing address
2260 S Church St
Burlington, NC 27215
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2016-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.