Active NPI
David Archie Norris, PHD
- Psychologist
- Garner, NC
National Provider Identifier
1417937848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1116
- Practice address
- 223 Hwy 70 East
220 W Millbrook Rd Ste 130
Garner, NC 27529 - Phone
- (919) 772-9371
- Fax
- (919) 779-6999
- NPI assigned
- Jan 20, 2006
- Last updated
- Oct 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1116 | NC | Primary |
Addresses
Primary practice location
223 Hwy 70 East
220 W Millbrook Rd Ste 130
Garner, NC 27529
Mailing address
223 Hwy 70 East
Ste 130
Garner, NC 27529
Phone (919) 772-9371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000510 | Medicaid | NC | |
| 056196472002752B001 | Other | TRICARE |
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Garner, NC
- NPI 1376575266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1417937848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 HWY 70 EAST",
"address_2": "STE 130",
"city": "GARNER",
"state": "NC",
"postal_code": "27529",
"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": "220 W MILLBROOK RD STE 130",
"city": "GARNER",
"state": "NC",
"postal_code": "27529",
"telephone_number": "919-772-9371",
"fax_number": "919-779-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "DAVID",
"middle_name": "ARCHIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000510",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "056196472002752B001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
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- North Carolina CVS Pharmacy LLC (CVS Pharmacy #16945)
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- North Carolina Sleep Apnea LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.