Active NPI
Norwich Therapy Assoc PA
- Psychologist
- Greenville, NC
National Provider Identifier
1750331310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0224
- Legal business name
- NORWICH THERAPY ASSOC PA
- Practice address
- 127A Oakmont Dr
Greenville, NC 27858 - Phone
- (252) 353-8990
- Fax
- (252) 353-5713
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Ann P Taggart, PHD
- Title
- Owner Psychologist
- Phone
- (252) 353-8990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0224 | NC | Primary |
Addresses
Primary practice location
127A Oakmont Dr
Greenville, NC 27858
Mailing address
127A Oakmont Dr
Greenville, NC 27858
Phone (252) 353-8990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012CK | Other | NC | BLUE CROSS BLUE SHIELD |
| 6001905 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
127A Oakmont Dr
Greenville, NC 27858
Phone (252) 353-8990
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Greenville, NC
- NPI 1063462638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750331310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127A OAKMONT DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-353-8990",
"fax_number": "252-353-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127A OAKMONT DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-353-8990",
"fax_number": "252-353-5713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWICH THERAPY ASSOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAGGART",
"authorized_official_first_name": "LEE ANN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER PSYCHOLOGIST",
"authorized_official_telephone_number": "252-353-8990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "0224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "012CK",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001905",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, 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.