Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacita Booker Petway, PSYD

Individual provider Psychologist · NPI 1477796316

Jacita Booker Petway, PSYD is a Clinical Psychologist in Huntersville, North Carolina. Qualified in 2007, 19 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

13815 Professional Center Dr Ste 100
Huntersville, NC 28078-7951
Phone: (704) 384-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N 1st St Ste 1, Albemarle, NC 28001-2819 — (704) 938-2117

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 7089 (NC)

Record details

NPI number1477796316
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 8, 2009
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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