Waynesborough Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WAYNESBOROUGH PSYCHOLOGICAL SERVICES

Practice address

2400 Wayne Memorial Dr
Suite E
Goldsboro, NC 27534-1789

Phone

(919) 736-7900

Fax

(919) 736-2424

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Walter Scott Allen, PH.D.

Title

Director

Phone

(919) 736-7900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Patricia S. Bock, L.C.A.S, L.C.S.W.

  • Clinical Social Worker
  • Clayton, NC
  • NPI 1518164292
  NPD (past)
• Christopher D. Boyle

  • Clinical Psychologist
  • Goldsboro, NC
  • NPI 1780763003
  NPD (past)

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1548409261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR",
            "address_2": "SUITE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "919-736-7900",
            "fax_number": "919-736-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR",
            "address_2": "SUITE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "919-736-7900",
            "fax_number": "919-736-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBOROUGH PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-736-7900",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Urological Associates PA
• Wayne Women'S Clinic
• Wayne Womens Clinic PA
• Waynesboro Family Clinic
• Waynesborough Ophthalmology, P.a.
• We Care of Goldsboro,Inc
• Melissa Hinson Weaver
• Hannah McKinney Webb, DMD
• Crystal L Weeks, M.ED., CCC-SLP
• Heather Fulghum Weeks, FNP

• Psychologist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.