Active NPI
Dewey Richard Daves, MA
- Psychologist
- Greenville, NC
National Provider Identifier
1336230325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0363
- Practice address
- 128 N Longmeadow Rd
Greenville, NC 27858-3704 - Phone
- (252) 329-7366
- Fax
- (252) 329-7366
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0363 | NC | Primary |
Addresses
Primary practice location
128 N Longmeadow Rd
Greenville, NC 27858-3704
Mailing address
128 N Longmeadow Rd
Greenville, NC 27858-3704
Phone (252) 329-7366
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0363 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336230325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 N LONGMEADOW RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278583704",
"telephone_number": "252-329-7366",
"fax_number": "252-329-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 N LONGMEADOW RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278583704",
"telephone_number": "252-329-7366",
"fax_number": "252-329-7366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVES",
"first_name": "DEWEY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "0363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
- Sarah E Daughtridge
- Purva Dave, DO
- Brett Gregory Davenport, DO
- Kelli P. Davenport, MS, RD, LDN
- Michaela Brooke Davenport
- Alexandra Leigh Davic, MD
- Nicholas Davic, LAT,ATC
- David Lauren Fitzgerald OD PA (Eye Care Center)
- David Lauren Fitzgerald OD PA (Eye Care Center)
- David Lauren Fitzgerald OD PA (Eye Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.