Individual provider Active NPI

George Demaris Gressman III, PSY.D.

  • Professional Counselor
  • Pembroke, NC
National Provider Identifier
1841495413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
685 Issued in NC
Practice address
1 University Rd
Uncp Counseling & Testing Center
Pembroke, NC 28372-8699
Phone
(910) 521-6202
Fax
(910) 521-6786
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 685 NC Primary

Addresses

Primary practice location

1 University Rd
Uncp Counseling & Testing Center
Pembroke, NC 28372-8699

Mailing address

4093 Doodlebug Dr
Hope Mills, NC 28348-9426
Phone (910) 521-6202

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

LicenseStateTypeSpecialty
685NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841495413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4093 DOODLEBUG DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489426",
            "telephone_number": "910-521-6202",
            "fax_number": "910-521-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY RD",
            "address_2": "UNCP COUNSELING & TESTING CENTER",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728699",
            "telephone_number": "910-521-6202",
            "fax_number": "910-521-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESSMAN",
        "first_name": "GEORGE",
        "middle_name": "DEMARIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.