NPIMap

Organization Active NPI

Appalachian State University

Doing business as ASU Psychology Clinic

  • Community/Behavioral Health Agency
  • Boone, NC
National Provider Identifier
1699104273
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
APPALACHIAN STATE UNIVERSITY
Doing business as
ASU Psychology Clinic
Practice address
400 University Hall Drive
Boone, NC 28607
Phone
(828) 262-2185
NPI assigned
Nov 5, 2013
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Bryan Belcher
Title
Interprofessional Clinic Director
Phone
(828) 262-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

400 University Hall Drive
Boone, NC 28607

Mailing address

400 University Hall Drive
Boone, NC 28607-3976
Phone (828) 262-2185

Other practice location 1

251 Industrial Park Dr
Boone, NC 28607-3976
Phone (828) 262-6639

Other names 1

  • ASU Psychology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Clinic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

251 Industrial Park Dr
Boone, NC 28607
Phone (828) 262-6639

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1699104273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY HALL DRIVE",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073976",
            "telephone_number": "828-262-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY HALL DRIVE",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-262-2185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Industrial Park Dr",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286073976",
            "country_code": "US",
            "telephone_number": "828-262-6639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPALACHIAN STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "INTERPROFESSIONAL CLINIC DIRECTOR",
        "authorized_official_telephone_number": "828-262-8657"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASU Psychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASU Psychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.