Organization Active NPI

Southern Highlands Psychological Associates PA

  • Psychologist
  • Asheville, NC
National Provider Identifier
1891727681
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1863 Issued in NC
Legal business name
SOUTHERN HIGHLANDS PSYCHOLOGICAL ASSOCIATES PA
Practice address
31 College PL
Suite D-203
Asheville, NC 28801-2483
Phone
(828) 350-1433
Fax
(828) 350-1434
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Dr. Charles Mark Knecht, PSY,D
Title
Psychologist
Phone
(828) 350-1433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 1863 NC Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X COO5255 NC

Addresses

Primary practice location

31 College PL
Suite D-203
Asheville, NC 28801-2483

Mailing address

31 College PL
Suite D-203
Asheville, NC 28801-2483
Phone (828) 350-1433

Other identifiers 1

IdentifierTypeStateIssuer
6000135MedicaidNC

National Provider Directory

National Provider Directory

Locations

31 College Pl
Ste 203D
Asheville, NC 28801
Phone (828) 350-1433

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1891727681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COLLEGE PL",
            "address_2": "SUITE D-203",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012483",
            "telephone_number": "828-350-1433",
            "fax_number": "828-350-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COLLEGE PL",
            "address_2": "SUITE D-203",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012483",
            "telephone_number": "828-350-1433",
            "fax_number": "828-350-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HIGHLANDS PSYCHOLOGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "KNECHT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "828-350-1433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY,D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1863",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO5255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.