NPIMap

Organization Active NPI

Asheboro Behavioral Medicine, PLLC

  • Clinical Psychologist
  • Asheboro, NC
National Provider Identifier
1194062786
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3067 Issued in NC
Legal business name
ASHEBORO BEHAVIORAL MEDICINE, PLLC
Practice address
727 S Fayetteville St
Suite C
Asheboro, NC 27203-6497
Phone
(336) 625-2073
Fax
(336) 625-2727
NPI assigned
Jan 16, 2013
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Christine Marie Giarmo, PSY.D.NPI 1538108519
Title
Clinic Director/Member
Phone
(336) 625-2073

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)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8874 NC
Clinical Psychologist 103TC0700X 3067 NC Primary

Addresses

Primary practice location

727 S Fayetteville St
Suite C
Asheboro, NC 27203-6497

Mailing address

727 S Fayetteville St
Suite C
Asheboro, NC 27203-6497
Phone (336) 625-2073

Other identifiers 1

IdentifierTypeStateIssuer
6000864MedicaidNC

National Provider Directory

National Provider Directory

Locations

727 S Fayetteville St
Ste C
Asheboro, NC 27203
Phone (336) 625-2073

Practitioners & affiliated clinicians

Practitioners 5

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": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1194062786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S FAYETTEVILLE ST",
            "address_2": "SUITE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036497",
            "telephone_number": "336-625-2073",
            "fax_number": "336-625-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S FAYETTEVILLE ST",
            "address_2": "SUITE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036497",
            "telephone_number": "336-625-2073",
            "fax_number": "336-625-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEBORO BEHAVIORAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "GIARMO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/MEMBER",
        "authorized_official_telephone_number": "336-625-2073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8874",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000864",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.