Johnny L. Kirby Jr., LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2364 Issued in NC

Practice address

211 S NC 127 Hwy
Suite 130
Hickory, NC 28602-3541

Phone

(828) 315-1368

Fax

(828) 270-7868

NPI assigned

Jan 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catawba Valley Psychological Associates

  • Clinical Psychologist
  • Hickory, NC
  • NPI 1285971374
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1639357668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BROWNING DR",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816642",
            "telephone_number": "828-315-1368",
            "fax_number": "828-270-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S NC 127 HWY",
            "address_2": "SUITE 130",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023541",
            "telephone_number": "828-315-1368",
            "fax_number": "828-270-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JOHNNY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2364",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "2364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wayne King II, DDS
• Leslie L King, AGNP-C
• Randy Alan King, C.P.O.
• Walter Lee King Sr., MD
• Walter Lee King Jr., OD
• Timothy H Kirkland, MD
• Hunter Michael Kirkpatrick
• Melanie Suzanne Kiser, O.D.
• Tyson D Kistler, PHARMD RPH
• Hannah D Kiziah, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.