Dovetail Holdings, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2580 Issued in NC

Legal business name

DOVETAIL HOLDINGS, INC

Practice address

912 Copperfield Blvd NE
Copperfield Commons
Concord, NC 28025-2433

Phone

(704) 425-4791

Fax

(704) 795-7179

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Jon Runge, PH.D. PSYCHOLOGIST

Title

President

Phone

(704) 425-4791

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215067681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 OAKWOOD AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815364",
            "telephone_number": "704-425-4791",
            "fax_number": "704-795-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 COPPERFIELD BLVD NE",
            "address_2": "COPPERFIELD COMMONS",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252433",
            "telephone_number": "704-425-4791",
            "fax_number": "704-795-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVETAIL HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-425-4791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanice Douglas-Lanier
• Brianna Elizabeth Douglas, LCSWA
• Joanna Douglas
• Kourtney Danielle Douglas, PHARMD, RPH
• Lori Douglas, MSW
• Ayana Juanique Dowe
• Kady Doyle
• Dr Michael J Landers DC
• Dr Robert Rogers DDS
• Dr Robert Schmidt PLLC

• Clinical Psychologist in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.