Nocd North Carolina PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NOCD NORTH CAROLINA PC

Practice address

374 Lakewind Dr
Moncks Corner, SC 29461-7448

Phone

(828) 424-3773

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Durham, PH.D.

Title

Psychologist

Phone

(828) 424-3773

Specialties & licenses 1

Addresses

Tax ID family

Nocd North Carolina PC2 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.

• Nocd North Carolina PC

  • Social Worker
  • Chicago, IL
  • NPI 1811802234
  NPD tax ID

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1114551926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MICHIGAN AVE STE 1430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017653",
            "telephone_number": "312-569-0820",
            "fax_number": "312-261-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 LAKEWIND DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294617448",
            "telephone_number": "828-424-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOCD NORTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "828-424-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New You Weight Loss & Wellness Center
• Donna Karen Newman, RPH
• Amanda Frances Newton, PHARMD
• Paula M. Nguyen, RN
• Elizabeth A Nifong-Velazquez
• Leanne M North
• Nu South Providers
• Marissa Nicole Nunes-Bryant, BSN, RN
• Nurturing Wonders
• Noah Davis Nussbaum, PHARMD

• Multi-Specialty Clinic/Center in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.