Vinson Psychological Services, PLLC

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

1596 Issued in NC

Legal business name

VINSON PSYCHOLOGICAL SERVICES, PLLC

Practice address

4236 Sherlie Weavil Rd
Winston Salem, NC 27107

Phone

(336) 972-1164

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Martha Anne Vinson, PHD

Title

Clinical Psychologist

Phone

(336) 972-1164

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1447592209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 SHERLIE WEAVIL RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27107",
            "telephone_number": "336-972-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 SHERLIE WEAVIL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27107",
            "telephone_number": "336-972-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINSON PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "336-972-1164",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "NC",
            "license": "1596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Robert Villanova, R PH
• Christopher Edison Villarraga, ARNP
• Reginald Dale Villeponteaux, MD
• Carol Logan Vincent, MD
• Max Joseph Vinograd, PA-C
• Nicholas Steven Viole, MD
• Virginia Health Partners LLC
• Virginia Love LCSW
• Anamaria Virola, PEER SUPPORT
• Virtually You Therapy and Wellness, PLLC

• Rehabilitation Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Rehabilitation Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.