NPIMap

Organization Active NPI

Ad/HD Clinic at University of North Carolina Greensboro

  • Clinical Psychologist
  • Greensboro, NC
National Provider Identifier
1144528480
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2093 Issued in NC
Legal business name
AD/HD CLINIC AT UNIVERSITY OF NORTH CAROLINA GREENSBORO
Practice address
1100 W Market St
3Rd Floor
Greensboro, NC 27403-1830
Phone
(336) 346-3192
Fax
(336) 346-3197
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Prof. Timothy D. Johnston, PH. D.
Title
Dean of College of Arts and Science
Phone
(336) 346-3192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2093 NC Primary

Addresses

Primary practice location

1100 W Market St
3Rd Floor
Greensboro, NC 27403-1830

Mailing address

PO Box 26170
Greensboro, NC 27402-6170
Phone (336) 346-3192

National Provider Directory

National Provider Directory
Tax ID family
Uncg Psychology Clinic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1144528480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26170",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274026170",
            "telephone_number": "336-346-3192",
            "fax_number": "336-346-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MARKET ST",
            "address_2": "3RD FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031830",
            "telephone_number": "336-346-3192",
            "fax_number": "336-346-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD/HD CLINIC AT UNIVERSITY OF NORTH CAROLINA GREENSBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DEAN OF COLLEGE OF ARTS AND SCIENCE",
        "authorized_official_telephone_number": "336-346-3192",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.