Central Carolina Centers for Counseling & Psychological Service

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1116 Issued in NC

Legal business name

CENTRAL CAROLINA CENTERS FOR COUNSELING & PSYCHOLOGICAL SERVICE

Practice address

223 Hwy 70 East
Suite 130
Garner, NC 27529

Phone

(919) 772-9371

Fax

(919) 779-6999

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David A Norris, PHD

Title

Owner

Phone

(919) 772-9371

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1376575266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 HWY 70 E",
            "address_2": "SUITE 130",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294062",
            "telephone_number": "919-772-9371",
            "fax_number": "919-779-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HWY 70 EAST",
            "address_2": "SUITE 130",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-772-9371",
            "fax_number": "919-779-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA CENTERS FOR COUNSELING & PSYCHOLOGICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-772-9371",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Garner, NC
• Providers in Garner, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.