Active NPI
Robert D McDonald, PSYCHOLOGIST
- Psychologist
- Asheville, NC
National Provider Identifier
1558351981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1158
- Practice address
- 34 Wall St
Suite 803
Asheville, NC 28801-2725 - Phone
- (828) 258-8365
- Fax
- (828) 258-8365
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1158 | NC | Primary |
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | 1158 | NC | |
| Clinical Psychologist | 103TC0700X | 1158 | NC | |
| Counseling Psychologist | 103TC1900X | 1158 | NC | |
| Forensic Psychologist | 103TF0200X | 1158 | NC | |
| Group Psychotherapy Psychologist | 103TP2701X | 1158 | NC |
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000571 | Medicaid | NC | |
| 04602 | Other | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1558351981",
"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": {
"last_name": "MCDONALD",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1158",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "1158",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1158",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "1158",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NC",
"license": "1158",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NC",
"license": "1158",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000571",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04602",
"state": null
}
],
"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 Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.