Organization Active NPI

Joseph Tooley Psychological

  • Clinic/Center
  • Cary, NC
National Provider Identifier
1861826752
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
851 Issued in NC
Legal business name
JOSEPH TOOLEY PSYCHOLOGICAL
Doing business as
Tooley Group
Practice address
106 Ridge View Dr
Suite D
Cary, NC 27511-6647
Phone
(919) 467-2464
Fax
(919) 467-8653
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Joseph Hicks Tooley, PHD
Title
Psychologist
Phone
(919) 467-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 851 NC Primary

Addresses

Primary practice location

106 Ridge View Dr
Suite D
Cary, NC 27511-6647

Mailing address

106 Ridge View Dr
Suite D
Cary, NC 27511-6647
Phone (919) 467-2464

Other identifiers 1

IdentifierTypeStateIssuer
600503MedicaidNC

Other names 1

  • Tooley Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131017000752 NC Part B Supplier - Clinic/Group Practice 1557595956 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1861826752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RIDGE VIEW DR",
            "address_2": "SUITE D",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116647",
            "telephone_number": "919-467-2464",
            "fax_number": "919-467-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RIDGE VIEW DR",
            "address_2": "SUITE D",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116647",
            "telephone_number": "919-467-2464",
            "fax_number": "919-467-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH TOOLEY PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "TOOLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HICKS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-467-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600503",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooley Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.