Organization Active NPI

Piedmont Psychotherapy, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1710184171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004533 Issued in NC
Legal business name
PIEDMONT PSYCHOTHERAPY, PLLC
Practice address
1622 E. NC Hywy 54
Durham, NC 27713
Phone
(919) 967-3032
Fax
(919) 967-3496
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Harry Cooke Read, LCSW
Title
Owner Operator
Phone
(919) 967-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C004533 NC Primary

Addresses

Primary practice location

1622 E. NC Hywy 54
Durham, NC 27713

Mailing address

253 Seminole Dr
Chapel Hill, NC 27514-1920
Phone (919) 967-3032

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710184171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 SEMINOLE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141920",
            "telephone_number": "919-967-3032",
            "fax_number": "919-967-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E. NC HYWY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-967-3032",
            "fax_number": "919-967-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "COOKE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "919-967-3032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.