Individual provider Active NPI

Gregory Peter Yousey, M.A.

  • Psychologist
  • Salisbury, NC
National Provider Identifier
1720092950
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2202 Issued in NC
Practice address
417 N Main St
Suite B
Salisbury, NC 28144-4376
Phone
(704) 636-9550
Fax
(704) 636-5865
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2202 NC Primary

Addresses

Primary practice location

417 N Main St
Suite B
Salisbury, NC 28144-4376

Mailing address

417 N Main St
Suite C-1
Salisbury, NC 28144-4376
Phone (704) 636-5522

Other identifiers 1

IdentifierTypeStateIssuer
6107053MedicaidNC

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
2202NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nazareth Children'S Home Psychologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1720092950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "address_2": "SUITE C-1",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444376",
            "telephone_number": "704-636-5522",
            "fax_number": "704-636-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444376",
            "telephone_number": "704-636-9550",
            "fax_number": "704-636-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEY",
        "first_name": "GREGORY",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.