Psychiatric Clinic of Southern Pines

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23778 Issued in NC

Legal business name

PSYCHIATRIC CLINIC OF SOUTHERN PINES

Practice address

180 Perry Dr
Southern Pines, NC 28387-7020

Phone

(910) 246-0567

Fax

(910) 246-0669

NPI assigned

Jan 5, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale M. Simpson, MD

Title

President

Phone

(910) 246-0567

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1932257219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877020",
            "telephone_number": "910-246-0567",
            "fax_number": "910-246-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877020",
            "telephone_number": "910-246-0567",
            "fax_number": "910-246-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CLINIC OF SOUTHERN PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-246-0567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "23778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "017GE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Program Resource Institute
• Program Resource Institute, Inc.
• Program Resource Institute, Inc.
• Program Resource Institute, Inc.
• Program Resource Institute, Inc.
• Frances Purcell-Abbott, LPC, NCC
• Portia Latyra Purcell, MA, LCMHC, LCAS
• Purple Canopy LLC
• Taylor Joanmarie Putman
• Krystina Lauren Quow, MD

• Psychiatry Physician in Southern Pines, NC
• Providers in Southern Pines, 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 Jan 23, 2008; 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.