OrganizationActive
Psychotherapeutic Services
NPI 1720121528 · Psychiatry Physician · Burlington, NC
Provider details
- NPI number
- 1720121528
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marcia Clendaniel, Billing Manager(410) 810-2465
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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 304
Burlington, NC 21215
Phone: (336) 513-4229
Fax: (336) 513-4228
Street-level locationGet directions
Mailing address
2260 S. Church St
Burlington, NC 21215
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2016-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.