Provider Demographics
NPI:1114151990
Name:SAPIA PSYCHOLOGICAL ASSOCIATES INC.
Entity type:Organization
Organization Name:SAPIA PSYCHOLOGICAL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:910-457-0800
Mailing Address - Street 1:4320 SOUTHPORT SUPPLY RD SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-8158
Mailing Address - Country:US
Mailing Address - Phone:910-457-0800
Mailing Address - Fax:910-457-1072
Practice Address - Street 1:4320 SOUTHPORT SUPPLY RD SE
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-8158
Practice Address - Country:US
Practice Address - Phone:910-457-0800
Practice Address - Fax:910-457-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0398103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty