Dynamic Mental Health Group

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PC10377 Issued in NC

Legal business name

DYNAMIC MENTAL HEALTH GROUP

Practice address

1670 Lowery St
Winston Salem, NC 27101-5603

Phone

(336) 970-1174

NPI assigned

Jan 9, 2011

Last updated

Jan 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Ramey, LPC

Title

Vice President

Phone

(336) 970-1174

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1255635082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24872",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271144872",
            "telephone_number": "336-970-1174",
            "fax_number": "336-768-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 LOWERY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015603",
            "telephone_number": "336-970-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MENTAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "RAMEY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-970-1174",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7895",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "5902401",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "PC10377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Alfred Pineda Dy
• Amanda Michelle Dyer, PTA
• Christopher Cornell Dyer, MD
• Kalyn Morgan Dyer, MD
• Olayinka Iberonke Dykes, LPCA #A13107
• Georgina Eyram Dzikunu, DO
• Keturah Elizabeth E Hosey
• E T Care Health and Medical (E T Care Health and Medical Supplies)
• E-Motions Family Services (E-Motions Family Services Inc.)
• E-Motions Family Services Inc.

• Point of Service in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.