Omni Psychological Center for Testing & Counseling PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OMNI PSYCHOLOGICAL CENTER FOR TESTING & COUNSELING PLLC

Practice address

7 Corporate Center CT Ste B
Greensboro, NC 27408-3839

Phone

(743) 223-4687

Fax

(743) 229-3229

NPI assigned

Nov 7, 2023

Last updated

Nov 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Blake Herd, MA, LPANPI 1770181059

Title

Licensed Psychological Associate

Phone

(743) 223-4687

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Blake Daniel Herd, MA, LPA

  • Clinical Psychologist
  • Greensboro, NC
  • NPI 1770181059
  NPD Authorized official

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1699549931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORPORATE CENTER CT STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083839",
            "telephone_number": "743-223-4687",
            "fax_number": "743-229-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORPORATE CENTER CT STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083839",
            "telephone_number": "743-223-4687",
            "fax_number": "743-229-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PSYCHOLOGICAL CENTER FOR TESTING & COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "HERD",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGICAL ASSOCIATE",
        "authorized_official_telephone_number": "743-223-4687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Greensboro, NC
• Providers in Greensboro, 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 Nov 7, 2023; 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.