Active NPI
Therapeutic Alternatives Incorporated
- Psychiatry Physician
- Asheboro, NC
National Provider Identifier
1407908304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- THERAPEUTIC ALTERNATIVES INCORPORATED
- Practice address
- 962 S Fayetteville St
Asheboro, NC 27203-6410 - Phone
- (336) 626-1500
- NPI assigned
- Jan 18, 2007
- Organization subpart
- Yes
- Parent organization
- THERAPEUTIC ALTERNATIVES INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Dean Wilson
- Title
- Owner
- Phone
- (336) 495-2700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
962 S Fayetteville St
Asheboro, NC 27203-6410
Mailing address
PO Box 814
4270 Heath Dairy Rd
Randleman, NC 27317-0814
Phone (336) 495-2723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903781 | Medicaid | NC |
National Provider Directory
National Provider Directory- Part of
- Therapeutic Alternatives in
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1407908304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 814",
"address_2": "4270 HEATH DAIRY RD",
"city": "RANDLEMAN",
"state": "NC",
"postal_code": "273170814",
"telephone_number": "336-495-2723",
"fax_number": "336-495-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 S FAYETTEVILLE ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036410",
"telephone_number": "336-626-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC ALTERNATIVES INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THERAPEUTIC ALTERNATIVES INCORPORATED",
"enumeration_date": "2007-01-18",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-495-2700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903781",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
- Therapeutic Alternatives Inc
- Therapeutic Alternatives Inc (Therapeutic Alternatives Behavioral Healthcare)
- Therapeutic Alternatives Inc
- Therapeutic Alternatives Incorporated
- Therapeutic Alternatives Incorporated
- Therapeutic Alternatives Incorporated
- Therapeutic Alternatives, Inc
- Therapeutic Alternatives, Inc (Therapeutic Alternatives Behavioral Healthcare)
- Therapeutic Alternatives, Inc.
- Therapeutic Alternatives, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.