Hendersonville Family Health Center-Psych
Organization Active NPI Family Psychologist · Hendersonville, NC
NPI 1457537482 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1457537482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Psychologist 103TF0000X
- Legal business name
- HENDERSONVILLE FAMILY HEALTH CENTER-PSYCH
- Practice address
- 709 N Justice St
Suite B
Hendersonville, NC 28791-3454 - Phone
- (828) 696-1234
- NPI assigned
- Jan 22, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- HENDERSON COUNTY HOSPITAL CORPORATION
Authorized official
- Name
- Alan D House
- Title
- Cfo
- Phone
- (828) 696-1000
Practitioners 15
-
Lateef Abumoussa, M.D
-
Diana R Curran, MD
-
Andrea Faulconer Currens, M.D.
-
James Hall, PHD
-
Paul Manning Henderson, M.D.
-
Julie Anne Marquez, RDN
-
Lynne Parsons, PSYD
-
Laura B Steenwyk, RD
-
Nancy D Zazen, MHS, RD, LDN, CDE
-
Imad Kafilmout, M.D
National Provider Directory
- Part of
- Pardee Flat Rock Family Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | |||
| Family Psychologist |
103TF0000X | Yes | ||
| Clinical Social Worker |
1041C0700X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
709 N Justice St
Suite B
Hendersonville, NC 28791-3454
Mailing address
PO Box 63314
Charlotte, NC 28263-3314
Phone (828) 696-1234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016WK | Other | NC | BCBS |
NPI Registry JSON
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294099200000",
"number": "1457537482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63314",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633314",
"telephone_number": "828-696-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N JUSTICE ST",
"address_2": "SUITE B",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913454",
"telephone_number": "828-696-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDERSONVILLE FAMILY HEALTH CENTER-PSYCH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HENDERSON COUNTY HOSPITAL CORPORATION",
"enumeration_date": "2008-01-22",
"last_updated": "2011-01-04",
"status": "A",
"authorized_official_last_name": "HOUSE",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "828-696-1000"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "016WK",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
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All providers in Hendersonville, NC · Family Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.