Provider Demographics
NPI:1487759544
Name:HUNT, JAMES C (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:HUNT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:CRAIG
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:2286 BETHESDA RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-8808
Mailing Address - Country:US
Mailing Address - Phone:336-887-8979
Mailing Address - Fax:336-887-9344
Practice Address - Street 1:1701 WESTCHESTER DR
Practice Address - Street 2:SUITE 350
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7008
Practice Address - Country:US
Practice Address - Phone:336-887-8979
Practice Address - Fax:336-887-9344
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1815103TC0700X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000867Medicaid