Individual provider Active NPI

Eugene Harrison Seals Jr., MA, LPA

  • Psychologist
  • Morganton, NC
National Provider Identifier
1790197572
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LPA 696 Issued in NC
Practice address
3619 Seals Road
Morganton, NC 28655
Phone
(828) 584-2043
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LPA 696 NC Primary

Addresses

Primary practice location

3619 Seals Road
Morganton, NC 28655

Mailing address

PO Box 2692
Morganton, NC 28680-2692
Phone (828) 460-7511

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
LPA 696NCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1790197572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2692",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286802692",
            "telephone_number": "828-460-7511",
            "fax_number": "828-584-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 SEALS ROAD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-584-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS",
        "first_name": "EUGENE",
        "middle_name": "HARRISON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, LPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "LPA 696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.