Active NPI
Jeannie Golden, PHD
- Psychologist
- Greenville, NC
National Provider Identifier
1538694559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1262
- Practice address
- 104 Rawl Building
Department of Psychology East Carolina University
Greenville, NC 27858 - Phone
- (252) 328-6206
- Fax
- (252) 328-6283
- NPI assigned
- Apr 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1262 | NC | Primary |
Addresses
Primary practice location
104 Rawl Building
Department of Psychology East Carolina University
Greenville, NC 27858
Mailing address
104 Rawl Building
Department of Psychology East Carolina University
Greenville, NC 27858
Phone (252) 328-6206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1262 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1538694559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 RAWL BUILDING",
"address_2": "DEPARTMENT OF PSYCHOLOGY EAST CAROLINA UNIVERSITY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-328-6206",
"fax_number": "252-328-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 RAWL BUILDING",
"address_2": "DEPARTMENT OF PSYCHOLOGY EAST CAROLINA UNIVERSITY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-328-6206",
"fax_number": "252-328-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "JEANNIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.