Organization Active NPI

Therapeutic Alternatives Incorporated

  • Geriatric Psychiatry Physician
  • Randleman, NC
National Provider Identifier
1871645820
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
THERAPEUTIC ALTERNATIVES INCORPORATED
Practice address
501 Pointe South Dr
Randleman, NC 27317-9503
Phone
(336) 495-2800
NPI assigned
Jan 18, 2007
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
THERAPEUTIC ALTERNATIVES INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Mr. David Dean Wilson
Title
Owner
Phone
(336) 495-2700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Geriatric Psychiatry Physician 2084P0805X NU Primary

Addresses

Primary practice location

501 Pointe South Dr
Randleman, NC 27317-9503

Mailing address

PO Box 814
4270 Heath Dairy Rd
Randleman, NC 27317-0814
Phone (336) 495-2723

National Provider Directory

National Provider Directory
Part of
Therapeutic Alternatives Inc

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1871645820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "address_2": "4270 HEATH DAIRY RD",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273170814",
            "telephone_number": "336-495-2723",
            "fax_number": "336-495-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 POINTE SOUTH DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179503",
            "telephone_number": "336-495-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALTERNATIVES INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTIC ALTERNATIVES INCORPORATED",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-495-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randleman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.