Active NPI
Betty L Dorsey, LPA
- Psychologist
- Asheboro, NC
National Provider Identifier
1205950599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 110 W Walker Ave
Asheboro, NC 27203-6760 - Phone
- (336) 633-7043
- Fax
- (336) 625-4969
- NPI assigned
- Mar 19, 2007
- Last updated
- Dec 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Clinical Psychologist | 103TC0700X | 0755 | NC |
Addresses
Primary practice location
110 W Walker Ave
Asheboro, NC 27203-6760
Mailing address
1120 7 LKS N
PO Box 9
West End, NC 27376-9756
Phone (910) 673-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107288 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0755 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Center for Mental Health, Developmental Disabilities and Sub | Past | Accepting new patients | |
| Sandhills Center for MH/DD/Sas | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West End, NC
- NPI 1659398444
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West End, NC
- NPI 1871679449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1205950599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 7 LKS N",
"address_2": "PO BOX 9",
"city": "WEST END",
"state": "NC",
"postal_code": "273769756",
"telephone_number": "910-673-9111",
"fax_number": "910-673-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W WALKER AVE",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036760",
"telephone_number": "336-633-7043",
"fax_number": "336-625-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "BETTY",
"middle_name": "L",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0755",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107288",
"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 Dec 17, 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.