Organization Active NPI

Psychological & Educational Resources

  • Psychologist
  • Morehead City, NC
National Provider Identifier
1538353263
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
NC1984 Issued in NC
Legal business name
PSYCHOLOGICAL & EDUCATIONAL RESOURCES
Practice address
3604 Medical Park CT
Morehead City, NC 28557-4347
Phone
(252) 240-2250
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
James Bruce Griffin, ED.D.
Title
Licensed Psychologist
Phone
(252) 240-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X NC1984 NC Primary

Addresses

Primary practice location

3604 Medical Park CT
Morehead City, NC 28557-4347

Mailing address

3604 Medical Park CT
Morehead City, NC 28557-4347
Phone (252) 240-2250

National Provider Directory

National Provider Directory

Locations

3606B Medical Park Ct
Morehead City, NC 28557
Phone (252) 240-2250

3606 Medical Park Ct
#B
Morehead City, NC 28557
Phone (252) 240-2250

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1538353263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574347",
            "telephone_number": "252-240-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574347",
            "telephone_number": "252-240-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & EDUCATIONAL RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "252-240-2250",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "NC1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.