Active NPI
Geoffrey Chad Urbaniak, PH.D.
- Clinical Psychologist
- Asheville, NC
National Provider Identifier
1790715431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3214
- Practice address
- 1100 Tunnel Rd
VA Medical Center
Asheville, NC 28805-2576 - Phone
- (828) 299-2519
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3214 | NC | Primary |
| Psychologist | 103T00000X | 3214 | NC |
Addresses
Primary practice location
1100 Tunnel Rd
VA Medical Center
Asheville, NC 28805-2576
Mailing address
1100 Tunnel Rd
VA Medical Center
Asheville, NC 28805-2576
Phone (828) 299-2519
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3214 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1790715431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"address_2": "VA MEDICAL CENTER",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-299-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"address_2": "VA MEDICAL CENTER",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-299-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANIAK",
"first_name": "GEOFFREY",
"middle_name": "CHAD",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3214",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.