Organization Active NPI

Child & Family Psychological Consultants, P.a.

  • Clinical Psychologist
  • New Bern, NC
National Provider Identifier
1093884819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0769 Issued in NC
Legal business name
CHILD & FAMILY PSYCHOLOGICAL CONSULTANTS, P.A.
Practice address
1425 S Glenburnie Rd Ste 1
New Bern, NC 28562-2610
Phone
(252) 633-0014
Fax
(252) 633-3793
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gerald Anthony Strag, ED.D.
Title
Owner
Phone
(252) 633-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0769 NC Primary

Addresses

Primary practice location

1425 S Glenburnie Rd Ste 1
New Bern, NC 28562-2610

Mailing address

1425 S Glenburnie Rd Ste 1
New Bern, NC 28562-2610
Phone (252) 633-0014

Other identifiers 1

IdentifierTypeStateIssuer
6001903MedicaidNC

National Provider Directory

National Provider Directory

Locations

1425 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 635-5100

1425 S Glenburnie Rd
Ste 1
New Bern, NC 28562
Phone (252) 633-0014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093884819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GLENBURNIE RD STE 1",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622610",
            "telephone_number": "252-633-0014",
            "fax_number": "252-633-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GLENBURNIE RD STE 1",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622610",
            "telephone_number": "252-633-0014",
            "fax_number": "252-633-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY PSYCHOLOGICAL CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRAG",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-633-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "0769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001903",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.