Center for Psychotherapy and Life Skills Development PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

200001500187 Issued in NC

Legal business name

CENTER FOR PSYCHOTHERAPY AND LIFE SKILLS DEVELOPMENT PA

Practice address

912 N Elm St
Greensboro, NC 27401-1513

Phone

(336) 274-4669

Fax

(336) 274-4749

NPI assigned

Feb 26, 2008

Last updated

Oct 13, 2008By 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

Dr. Barbara S. Metz, PH.D.

Title

President

Phone

(336) 274-4669

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1740459544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011513",
            "telephone_number": "336-274-4669",
            "fax_number": "336-274-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011513",
            "telephone_number": "336-274-4669",
            "fax_number": "336-274-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOTHERAPY AND LIFE SKILLS DEVELOPMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-274-4669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "200001500187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.