Geripsych Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3730 Issued in NC

Legal business name

GERIPSYCH SERVICES PLLC

Practice address

611 Old US Hwy 70 E
Black Mountain, NC 28711-9488

Phone

(828) 665-7062

NPI assigned

Feb 2, 2012

Last updated

Jun 24, 2015By 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

Dr. Gina M Hagar, PSYCHOLOGISTNPI 1083855423

Title

Owner/Manager

Phone

(828) 665-7062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GINA HAGAR PSYD PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gina M Hagar, PSYD

  • Clinical Psychologist
  • Black Mountain, NC
  • NPI 1083855423
  Medicare reassignment NPD Authorized official
• Robert Gorlach, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1598824021
  Medicare reassignment NPD

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1376815613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287150263",
            "telephone_number": "828-665-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OLD US HWY 70 E",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119488",
            "telephone_number": "828-665-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIPSYCH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "HAGAR",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "828-665-7062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008718",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GINA HAGAR PSYD PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jonathan Frakes, PT, DPT
• Sherry Ann Friedman, LCMHCA
• James Robert Frith Jr., NC LMBT #14700
• Sarah Gay, LMBT
• Alaina N Gelineau, D.C.
• Hannah Hunter Gibson, CCC-SLP
• Givens Highland Farms, LLC
• Andrew St George Gladding, OTR/L
• Joshua Lucas Gleeson-Warren, PT, DPT
• Chyril Graf, LMT

• Clinical Psychologist in Black Mountain, NC
• Providers in Black Mountain, 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 Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.