NPIMap

Organization Active NPI

Family Relations & Intimacy Center, Inc.

  • Psychologist
  • Asheville, NC
National Provider Identifier
1467752907
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1158 Issued in NC
Legal business name
FAMILY RELATIONS & INTIMACY CENTER, INC.
Practice address
34 Wall St
Suite 803
Asheville, NC 28801-2725
Phone
(828) 258-8365
Fax
(828) 258-8365
NPI assigned
Nov 1, 2010
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Dr. Robert Devers McDonald, PH.D.NPI 1558351981
Title
Psychologist
Phone
(828) 258-8365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1158 NC Primary

Addresses

Primary practice location

34 Wall St
Suite 803
Asheville, NC 28801-2725

Mailing address

34 Wall St
Suite 803
Asheville, NC 28801-2725
Phone (828) 258-8365

Other identifiers 3

IdentifierTypeStateIssuer
04602OtherNCBCBS
6000571MedicaidNC
11336736OtherNCCAQH

National Provider Directory

National Provider Directory

Locations

34 Wall St
Ste 803
Asheville, NC 28801
Phone (828) 258-8365

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1467752907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WALL ST",
            "address_2": "SUITE 803",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012725",
            "telephone_number": "828-258-8365",
            "fax_number": "828-258-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WALL ST",
            "address_2": "SUITE 803",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012725",
            "telephone_number": "828-258-8365",
            "fax_number": "828-258-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RELATIONS & INTIMACY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEVERS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "828-258-8365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04602",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000571",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11336736",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.