Active NPI
Douglas E. Combs, PH.D.
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1083647283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1175
- Practice address
- 501 Billingsley Rd
Charlotte, NC 28211-1009 - Phone
- (704) 358-2700
- Fax
- (704) 358-2716
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1175 | NC | Primary |
Addresses
Primary practice location
501 Billingsley Rd
Charlotte, NC 28211-1009
Mailing address
501 Billingsley Rd
Charlotte, NC 28211-1009
Phone (704) 358-2710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000696 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1175 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083647283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111009",
"telephone_number": "704-358-2710",
"fax_number": "704-358-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111009",
"telephone_number": "704-358-2700",
"fax_number": "704-358-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "DOUGLAS",
"middle_name": "E.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000696",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.