Organization Active NPI

Piedmont Counseling and Development Group

  • Clinical Psychologist
  • Hickory, NC
National Provider Identifier
1659762128
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
834 Issued in NC
Legal business name
PIEDMONT COUNSELING AND DEVELOPMENT GROUP
Practice address
305 4TH St SW
Hickory, NC 28602-2820
Phone
(828) 270-3840
NPI assigned
Feb 5, 2015
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Douglas J. Freeman, PH.D.NPI 1811921299
Title
Owner
Phone
(828) 320-8807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 834 NC Primary

Addresses

Primary practice location

305 4TH St SW
Hickory, NC 28602-2820

Mailing address

305 4TH St SW
Hickory, NC 28602-2820
Phone (828) 270-2840

National Provider Directory

National Provider Directory

Locations

305 4th St SW
Hickory, NC 28602
Phone (828) 270-3840

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1659762128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 4TH ST SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022820",
            "telephone_number": "828-270-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 4TH ST SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022820",
            "telephone_number": "828-270-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT COUNSELING AND DEVELOPMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-320-8807",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.