Professional Rehabilitation Consultants

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Legal business name

PROFESSIONAL REHABILITATION CONSULTANTS

Practice address

1710 Kay St
Greensboro, NC 27405-5046

Phone

(336) 508-1157

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Zan L Liccione, CRC

Title

Ceo, Clinical Services

Phone

(336) 508-1157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1598844565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 KAY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055046",
            "telephone_number": "336-508-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 KAY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055046",
            "telephone_number": "336-508-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHABILITATION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "LICCIONE",
        "authorized_official_first_name": "ZAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO, CLINICAL SERVICES",
        "authorized_official_telephone_number": "336-508-1157",
        "authorized_official_credential": "CRC"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Psychologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Rehabilitation Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.