Options Driven

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OPTIONS DRIVEN

Practice address

210 Brent St
Wadesboro, NC 28170-2804

Phone

(386) 212-2061

NPI assigned

Jul 19, 2016

Organization subpart

No

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

Authorized official

Name

Jerry Lewis Taylor

Title

Ceo/Owner

Phone

(386) 212-2061

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1669825220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BRENT ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702804",
            "telephone_number": "386-212-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BRENT ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702804",
            "telephone_number": "386-212-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS DRIVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "386-212-2061"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Wadesboro, NC
• Providers in Wadesboro, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.