NPIMap

Organization Active NPI

David C Ghostley PSYD Inc

  • Clinical Psychologist
  • Dothan, AL
National Provider Identifier
1225079114
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1262 Issued in AL
Legal business name
DAVID C GHOSTLEY PSYD INC
Practice address
202 N Bell St
Dothan, AL 36303-4310
Phone
(334) 699-1620
NPI assigned
Jun 9, 2006
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID GHOSTLEY PSYD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
David Carl Ghostley, PSY,DNPI 1265489538
Title
Owner
Phone
(334) 699-1620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1262 AL Primary

Addresses

Primary practice location

202 N Bell St
Dothan, AL 36303-4310

Mailing address

202 N Bell St
Dothan, AL 36303-4310
Phone (334) 699-1620

National Provider Directory

National Provider Directory
Part of
David C Ghostley PSYD I

Locations

202 N Bell St
Dothan, AL 36303
Phone (334) 699-1620

Practitioners & affiliated clinicians

Practitioners 6

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1225079114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N BELL ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034310",
            "telephone_number": "334-699-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N BELL ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034310",
            "telephone_number": "334-699-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C GHOSTLEY PSYD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID GHOSTLEY PSYD INC",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "GHOSTLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-699-1620",
        "authorized_official_credential": "PSY,D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.