Active NPI
Dunn Psychological Associates, PA
- Clinical Psychologist
- Dunn, NC
National Provider Identifier
1174712798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2015
- Legal business name
- DUNN PSYCHOLOGICAL ASSOCIATES, PA
- Practice address
- 102 Tilghman Dr
Dunn, NC 28334-5533 - Phone
- (910) 892-5839
- Fax
- (910) 892-5771
- NPI assigned
- Oct 19, 2007
- Last updated
- Oct 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Michael Dermott, PSY.D.
- Title
- Director
- Phone
- (910) 892-5839
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3185 | NC | |
| Clinical Psychologist | 103TC0700X | 2015 | NC | Primary |
Addresses
Primary practice location
102 Tilghman Dr
Dunn, NC 28334-5533
Mailing address
PO Box 487
Dunn, NC 28335-0487
Phone (910) 892-5839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006194 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Child & Adolescent Psychiatry Physician
- Raleigh, NC
- NPI 1639208978
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1376829945
Professional
-
- Marriage & Family Therapist
- Dunn, NC
- NPI 1013282466
-
- Professional Counselor
- Dunn, NC
- NPI 1568981652
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1255734851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1174712798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "DUNN",
"state": "NC",
"postal_code": "283350487",
"telephone_number": "910-892-5839",
"fax_number": "910-892-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 TILGHMAN DR",
"city": "DUNN",
"state": "NC",
"postal_code": "283345533",
"telephone_number": "910-892-5839",
"fax_number": "910-892-5771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNN PSYCHOLOGICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "DERMOTT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-892-5839",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3185",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006194",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
- Dunn Gastroenterology, P.a. (Dunn Gastroenterology)
- Dunn Internal Medicine
- Dunn Medical Services LLC (Cape Fear Valley Primary Care-Dunn)
- Dunn OB GYN Associates
- Dunn OB GYN Associates, P.C.
- Dunn Rescue Squad Inc.
- Samantha Brown Dunn, NP
- Abigail W Durden, D.O.
- Magniola Dure
- E Squared Community Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.