NPIMap

Organization Active NPI

Carolina Psychological Associates, P.a.

  • Counseling Psychologist
  • Greensboro, NC
National Provider Identifier
1467409003
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0067 Issued in NC
Legal business name
CAROLINA PSYCHOLOGICAL ASSOCIATES, P.A.
Practice address
1501 Highwoods Blvd
Ste 101
Greensboro, NC 27410
Phone
(336) 272-0855
Fax
(336) 272-9885
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Gail Hale
Title
Office Manager
Phone
(336) 272-0855

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0067 NC
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 0067 NC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0067 NC
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0067 NC

Addresses

Primary practice location

1501 Highwoods Blvd
Ste 101
Greensboro, NC 27410

Mailing address

1501 Highwoods Blvd
Ste 101
Greensboro, NC 27410
Phone (210) 881-0890

Other names 1

  • Carolina Psychological Associates, P.A. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125001009 NC Part B Supplier - Clinic/Group Practice 3678587995 Receives reassigned benefits from 4 practitioners
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

806 Green Valley Rd
Ste 310
Greensboro, NC 27408
Phone (336) 272-0855

5509B W Friendly Ave
Ste 106
Greensboro, NC 27410
Phone (336) 272-0855

1501 Highwoods Blvd
Ste 101
Greensboro, NC 27410
Phone (336) 272-0855

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1467409003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HIGHWOODS BLVD",
            "address_2": "STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "210-881-0890",
            "fax_number": "210-569-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HIGHWOODS BLVD",
            "address_2": "STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-272-0855",
            "fax_number": "336-272-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PSYCHOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-272-0855"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "0067",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "0067",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "0067",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "0067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Psychological Associates, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Psychological Associates, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.