NPIMap

Organization Active NPI

St. Gerard House

  • Clinical Psychologist
  • Hendersonville, NC
National Provider Identifier
1114476199
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ST. GERARD HOUSE
Practice address
705 Oakland St
Hendersonville, NC 28791-3647
Phone
(828) 693-4223
NPI assigned
Oct 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2016

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

Authorized official

Name
Caroline Long
Title
Executive Director
Phone
(828) 693-4223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

705 Oakland St
Hendersonville, NC 28791-3647

Mailing address

620 Oakland St
Hendersonville, NC 28791-3646
Phone (828) 693-4223

National Provider Directory

National Provider Directory
Tax ID family
St Gerard House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

620 Oakland St
Hendersonville, NC 28791
Phone (828) 693-4223

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475280000000",
    "number": "1114476199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 OAKLAND ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913646",
            "telephone_number": "828-693-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 OAKLAND ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913647",
            "telephone_number": "828-693-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GERARD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-693-4223"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.