Individual provider Active NPI

Terence Edward Fitzgerald, PH.D.

  • Clinical Psychologist
  • Asheville, NC
National Provider Identifier
1366617359
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1793 Issued in NC
Practice address
1200 Ridgefield Blvd
Suite 101
Asheville, NC 28806-2253
Phone
(828) 670-7474
Fax
(866) 847-7279
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1793 NC Primary

Addresses

Primary practice location

1200 Ridgefield Blvd
Suite 101
Asheville, NC 28806-2253

Mailing address

1200 Ridgefield Blvd
Suite 101
Asheville, NC 28806-2253
Phone (828) 670-7474

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1793NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Hoski and Moody PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1366617359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIDGEFIELD BLVD",
            "address_2": "SUITE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062253",
            "telephone_number": "828-670-7474",
            "fax_number": "866-847-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIDGEFIELD BLVD",
            "address_2": "SUITE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062253",
            "telephone_number": "828-670-7474",
            "fax_number": "866-847-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "TERENCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.