George Lambros Vergolias, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2721 Issued in NC

Practice address

10400 Summerton Dr
Raleigh, NC 27614-8788

Phone

(919) 523-8817

NPI assigned

Nov 1, 2006

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Telepsych Supports PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1841552866
  Authorized official Same address or phone
• Vergolias Psychological Consultants PLLC

  • Psychologist
  • Raleigh, NC
  • NPI 1215107701
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1851478143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 SUMMERTON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148788",
            "telephone_number": "919-523-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 SUMMERTON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148788",
            "telephone_number": "919-523-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGOLIAS",
        "first_name": "GEORGE",
        "middle_name": "LAMBROS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000653",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luisa L Vera, MD
• Emily Gabriela Verber Coronado, OTR/L
• Jon Dabu Verceles, PA-C
• Adrienne M Verga, DDS
• Vergolias Psychological Consultants PLLC
• Michael George Verian
• Anju Verma, MSW, LCSW
• Smita Verma, PT
• Katherine Vermette, LCMHCA
• David Carl Verner, PHD; CPBPPC, NC

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.