Organization Active NPI

Haywood County Psychological Services

  • Psychologist
  • Waynesville, NC
National Provider Identifier
1437465739
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HAYWOOD COUNTY PSYCHOLOGICAL SERVICES
Practice address
669 S Haywood St
Waynesville, NC 28786-6703
Phone
(828) 586-2311
Fax
(828) 586-5450
NPI assigned
Aug 24, 2010
Organization subpart
Yes
Parent organization
JACKSON COUNTY PSYCHOLOGICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Debbie Douthit
Title
Billing Supervisor
Phone
(828) 586-2311

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

669 S Haywood St
Waynesville, NC 28786-6703

Mailing address

PO Box 728
Sylva, NC 28779-0728
Phone (828) 586-2311

Other names 1

  • Jackson County Psychological Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Psychological Services4 organizations share this tax ID, including this one
Part of
Jackson County Psychological Services

Other organizations with this tax ID 3

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

Locations

669 S Haywood St
Waynesville, NC 28786
Phone (828) 456-2997

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1437465739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790728",
            "telephone_number": "828-586-2311",
            "fax_number": "828-586-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 S HAYWOOD ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866703",
            "telephone_number": "828-586-2311",
            "fax_number": "828-586-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD COUNTY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY PSYCHOLOGICAL SERVICES",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "DOUTHIT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "828-586-2311"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.