NPIMap

Organization Active NPI

Uncg Psychology Clinic

  • Psychologist
  • Greensboro, NC
National Provider Identifier
1386849313
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
UNCG PSYCHOLOGY CLINIC
Practice address
200 E. Northwood St.,
Suite 320
Greensboro, NC 27401
Phone
(336) 346-3192
Fax
(336) 346-3197
NPI assigned
Jun 19, 2007
Organization subpart
Yes
Parent organization
UNIVERSITY OF NORTH CAROLINA - GREENSBOROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Arthur Davide Anastopaulos, PH.D.
Title
Director of Ad/HD Clinic at Uncg
Phone
(336) 346-3192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

200 E. Northwood St.,
Suite 320
Greensboro, NC 27401

Mailing address

PO Box 26170
Greensboro, NC 27402-6170
Phone (336) 346-3192

Other identifiers 2

IdentifierTypeStateIssuer
5903678MedicaidNC
6005278MedicaidNC

Other names 1

  • AD/HD Clinic at UNCG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uncg Psychology Clinic11 organizations share this tax ID, including this one
Part of
Uncg Psychology Clinic

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 E Northwood St
Ste 320
Greensboro, NC 27401
Phone (336) 346-3192

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1386849313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26170",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274026170",
            "telephone_number": "336-346-3192",
            "fax_number": "336-346-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. NORTHWOOD ST.,",
            "address_2": "SUITE 320",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-346-3192",
            "fax_number": "336-346-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCG PSYCHOLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NORTH CAROLINA - GREENSBORO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "ANASTOPAULOS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "DAVIDE",
        "authorized_official_title_or_position": "DIRECTOR OF AD/HD CLINIC AT UNCG",
        "authorized_official_telephone_number": "336-346-3192",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903678",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005278",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AD/HD Clinic at UNCG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.