Individual provider Active NPI

Daniel C Opdyke, PHD

  • Clinical Psychologist
  • Hickory, NC
National Provider Identifier
1215039383
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2404 Issued in NC
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2404NCMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions CS PLLC Clinical PastSince Mar 21, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.