Cary Church of God

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2014-01031 Issued in NC

Legal business name

CARY CHURCH OF GOD

Practice address

107 Quade Dr
Cary, NC 27513-7401

Phone

(919) 467-0537

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Dan Tirey

Title

Office Manager

Phone

(919) 467-0537

Specialties & licenses 2

Addresses

Other names 1

• R3 Counseling Center Doing business as

Locations

Practitioners 3

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

• Angel Dean-Moore, LPCA

  • Professional Counselor
  • Cary, NC
  • NPI 1750895777
  NPD (past)
• Thomas Patrick Jensen II, M.D.

  • Psychiatry Physician
  • Cary, NC
  • NPI 1780843599
  NPD (past)
• Jill Strickland, LPCA

  • Professional Counselor
  • Hoover, AL
  • NPI 1982135869
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1861926792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 QUADE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137401",
            "telephone_number": "919-467-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 QUADE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137401",
            "telephone_number": "919-467-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY CHURCH OF GOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "TIREY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-467-0537"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12861",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2014-01031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R3 Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cary Behavioral Health, PC
• Cary Cardiology Associates
• Cary Cardiology PA
• Cary Childrens Clinic PC
• Cary Chiropractic and Massage PLLC
• Cary Dental Rejuvenation
• Cary Dermatology Center, P.a.
• Cary Diagnostic Radiology, PA
• Cary Digestive Diseases, PLLC
• Cary Endocrine & Diabetes Center PA

• Psychiatry Physician in Cary, NC
• Providers in Cary, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.