Active NPI
Gale Coor, MS LPA
- Intellectual & Developmental Disabilities Psychologist
- Concord, NC
National Provider Identifier
1346364361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 500
- Practice address
- 1065 Vinehaven Dr
Concord, NC 28025-2439 - Phone
- (704) 786-9181
- Fax
- (704) 792-9198
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 500 | NC | Primary |
Addresses
Primary practice location
1065 Vinehaven Dr
Concord, NC 28025-2439
Mailing address
1065 Vinehaven Dr
Concord, NC 28025-2439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046KM | Other | NC | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500 | NC | MD | Intellectual & Developmental Disabilities Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC DHHS Child and Family Well-Being | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Concord, NC
- NPI 1346464716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346364361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 VINEHAVEN DR",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 VINEHAVEN DR",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252439",
"telephone_number": "704-786-9181",
"fax_number": "704-792-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOR",
"first_name": "GALE",
"credential": "MS LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NC",
"license": "500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "046KM",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
- Amber Kimrey Cooper, MS, CCC-SLP
- Decora Cooper, LCAS-A
- McKenna Cooper
- Sean Michael Cooper, DC
- Whitney Cooper, LMBT
- Allison Brookshire Coore, M.A., L.P.C., N.C.C.
- Samantha Josephine Copeland
- Copperfield OB/GYN P.L.L.C.
- Copperfield SNF Operations LLC (Copperfield Health & Rehabilitation)
- Toni Corbani, PT, DPT
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.