The Carolina Psychological Group, P.a.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHL074-31 Issued in NC

Legal business name

THE CAROLINA PSYCHOLOGICAL GROUP, P.A.

Practice address

702 Johns Hopkins Drive
Greenville, NC 27834-7220

Phone

(252) 757-0123

Fax

(252) 757-3461

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harold J. May, PH.D

Title

President

Phone

(252) 757-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Centre Doing business as

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1225103237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 JOHNS HOPKINS DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347220",
            "telephone_number": "252-757-0123",
            "fax_number": "252-757-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 JOHNS HOPKINS DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347220",
            "telephone_number": "252-757-0123",
            "fax_number": "252-757-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAROLINA PSYCHOLOGICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-757-0123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL074-31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0103T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.