Organization Active NPI

Therapeutic Alternatives, Inc.

  • Clinical Social Worker
  • Ramseur, NC
National Provider Identifier
1619029535
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPEUTIC ALTERNATIVES, INC.
Practice address
107 Weatherly SQ
Ramseur, NC 27316-8480
Phone
(336) 495-2700
Fax
(336) 495-5552
NPI assigned
Jan 18, 2007
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
THERAPEUTIC ALTERNATIVES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Mr. David Dean Wilson
Title
Owner
Phone
(336) 495-2700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

107 Weatherly SQ
Ramseur, NC 27316-8480

Mailing address

PO Box 814
4270 Heath Dairy Rd
Randleman, NC 27317-0814
Phone (336) 495-2723

National Provider Directory

National Provider Directory
Part of
Therapeutic Alternatives Inc

Locations

107 Weatherly Sq
Ramseur, NC 27316

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1619029535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "address_2": "4270 HEATH DAIRY RD",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273170814",
            "telephone_number": "336-495-2723",
            "fax_number": "336-495-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEATHERLY SQ",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273168480",
            "telephone_number": "336-495-2700",
            "fax_number": "336-495-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALTERNATIVES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTIC ALTERNATIVES, INC.",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-495-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramseur, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.