Organization Active NPI

Allied Psychophysiology Services PLLC

Doing business as Allied Psychophysiology

  • Clinical Neurophysiology Physician
  • Wilmington, NC
National Provider Identifier
1700069150
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
ALLIED PSYCHOPHYSIOLOGY SERVICES PLLC
Doing business as
Allied Psychophysiology
Practice address
2018 Eastwood Rd
Wilmington, NC 28403-7228
Phone
(910) 515-4200
Fax
(888) 562-3550
NPI assigned
Dec 7, 2007
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Ms. Elizabeth Porter
Title
Office Manager
Phone
(910) 515-4200

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Neuroscience Clinical Nurse Specialist 364SN0800X NU
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU
Clinical Neurophysiology Physician 2084N0600X NU Primary
Psychosomatic Medicine Physician 2084P0015X NU

Addresses

Primary practice location

2018 Eastwood Rd
Wilmington, NC 28403-7228

Mailing address

PO Box 754
Wrightsville Beach, NC 28480-0754

Other names 1

  • Allied Psychophysiology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1700069150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284800754",
            "fax_number": "888-562-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 EASTWOOD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037228",
            "telephone_number": "910-515-4200",
            "fax_number": "888-562-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PSYCHOPHYSIOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-515-4200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Psychophysiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.