Healthcare Provider Details

I. General information

NPI: 1639471469
Provider Name (Legal Business Name): RAINEY PSYCHOLOGICAL SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BRIAR CREEK RD STE FF301 7310 MIDDLEBURY PLACE CHARLOTTE NC 28212
CHARLOTTE NC
28205-6971
US

IV. Provider business mailing address

800 BRIAR CREEK RD STE BB400
CHARLOTTE NC
28205-6960
US

V. Phone/Fax

Practice location:
  • Phone: 704-408-3703
  • Fax: 704-537-9356
Mailing address:
  • Phone: 704-408-3703
  • Fax: 908-299-8673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMMIE NOEL RAINEY
Title or Position: OWNER/LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 704-408-3703