Active NPI
Larry Michel McConathy, PSY.D.
- Clinical Psychologist
- Greenville, NC
National Provider Identifier
1780635193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3658
- Practice address
- 2100 Stantonsburg Road
Pitt County Memorial Hospital, Psychology Department
Greenville, NC 27835-6028 - Phone
- (252) 847-4444
- Fax
- (252) 847-7551
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 055P | AR | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3658 | NC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 055P | AR | |
| Clinical Psychologist | 103TC0700X | 3658 | NC | Primary |
| Clinical Psychologist | 103TC0700X | 055P | AR |
Addresses
Primary practice location
2100 Stantonsburg Road
Pitt County Memorial Hospital, Psychology Department
Greenville, NC 27835-6028
Mailing address
1206 Allen Road
Apt D
Greenville, NC 27834
Phone (252) 378-0400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055P | AR | MD | Clinical Psychologist |
| 3658 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1780635193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 ALLEN ROAD",
"address_2": "APT D",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-378-0400",
"fax_number": "252-847-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STANTONSBURG ROAD",
"address_2": "PITT COUNTY MEMORIAL HOSPITAL, PSYCHOLOGY DEPARTMENT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278356028",
"telephone_number": "252-847-4444",
"fax_number": "252-847-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONATHY",
"first_name": "LARRY",
"middle_name": "MICHEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AR",
"license": "055P",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "3658",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AR",
"license": "055P",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3658",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "055P",
"primary": false
}
],
"identifiers": [],
"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 Feb 21, 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.