Active NPI
Daniel C Opdyke, PHD
- Clinical Psychologist
- Hickory, NC
National Provider Identifier
1215039383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2404
- Practice address
- 321 7TH St NE
Suite B
Hickory, NC 28601-5113 - Phone
- (828) 485-2195
- Fax
- (828) 485-2197
- NPI assigned
- Sep 1, 2006
- Last updated
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2404 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 2404 | NC | |
| Clinical Psychologist | 103TC0700X | 2404 | NC | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2404 | NC | |
| Family Psychologist | 103TF0000X | 2404 | NC |
Addresses
Primary practice location
321 7TH St NE
Suite B
Hickory, NC 28601-5113
Mailing address
321 7TH St NE
Suite B
Hickory, NC 28601-5113
Phone (828) 485-2195
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2404 | NC | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions CS PLLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- danopdyke@bsa.direct.kno2fy.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1215039383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 7TH ST NE",
"address_2": "SUITE B",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015113",
"telephone_number": "828-485-2195",
"fax_number": "828-485-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 7TH ST NE",
"address_2": "SUITE B",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015113",
"telephone_number": "828-485-2195",
"fax_number": "828-485-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPDYKE",
"first_name": "DANIEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2404",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "2404",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2404",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "2404",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NC",
"license": "2404",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.