Active NPI
Joe Allen Suddeth
- Clinical Psychologist
- Morganton, NC
National Provider Identifier
1447340583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1132
- Practice address
- 304 W Union St
Morganton, NC 28655-3729 - Phone
- (828) 439-2328
- Fax
- (828) 439-2332
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1132 | NC | Primary |
Addresses
Primary practice location
304 W Union St
Morganton, NC 28655-3729
Mailing address
304 W Union St
Morganton, NC 28655-3729
Phone (828) 439-2328
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1132 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1447340583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W UNION ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553729",
"telephone_number": "828-439-2328",
"fax_number": "828-439-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W UNION ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553729",
"telephone_number": "828-439-2328",
"fax_number": "828-439-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDETH",
"first_name": "JOE",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.