Active NPI
Joseph Thomas Verga, PHD
- Clinical Psychologist
- Winston Salem, NC
National Provider Identifier
1700892619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1001
- Practice address
- 8025 N Point Blvd
Suite 231
Winston Salem, NC 27106-3262 - Phone
- (336) 896-0065
- Fax
- (336) 896-0710
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1001 | NC | Primary |
Addresses
Primary practice location
8025 N Point Blvd
Suite 231
Winston Salem, NC 27106-3262
Mailing address
8025 N Point Blvd
Suite 231
Winston Salem, NC 27106-3262
Phone (336) 896-0065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04839 | Other | NY | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001 | NC | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Christian Counseling | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Winston Salem, NC
- NPI 1609890268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1700892619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 N POINT BLVD",
"address_2": "SUITE 231",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063262",
"telephone_number": "336-896-0065",
"fax_number": "336-896-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8025 N POINT BLVD",
"address_2": "SUITE 231",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063262",
"telephone_number": "336-896-0065",
"fax_number": "336-896-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGA",
"first_name": "JOSEPH",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04839",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.