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PROF. JOHN DOUGHERTY
NPI 1881711026
Psychologist - Intellectual and Developmental Disabilities in Winterville, NC

Active since March 23, 2007
108 W FIRETOWER RD STE D, WINTERVILLE, NC 28590(252) 830-3300(252) 830-3322 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prof. John Dougherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROF. JOHN DOUGHERTY (NPI 1881711026) is an individual intellectual and developmental disabilities provider in Winterville, North Carolina, licensed in North Carolina (1094) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1881711026
Entity TypeIndividualMale
Primary Taxonomy103TM1800X
Provider Legal NamePROF. JOHN DOUGHERTY
Location Address108 W FIRETOWER RD STE DWinterville, NC 28590-8408
Mailing Address108 W Firetower Rd Ste DWinterville, NC 28590-8408 · (252) 830-3300 · Fax (252) 830-3322
Phone(252) 830-3300
Fax(252) 830-3322
Sole ProprietorYes
Enumeration DateMarch 23, 2007
Last NPPES UpdateOctober 17, 2013
✔ NPI 1881711026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
License✔ Licensed in NC · 1094
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 411 (NC)
108 W FIRETOWER RD STE D, Winterville, NC 28590
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Dougherty's NPI number?

The NPI number for John Dougherty is 1881711026. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is John Dougherty located?

John Dougherty practices at 108 W Firetower Rd Ste D, Winterville, NC 28590. The listed phone number is (252) 830-3300.

What is John Dougherty's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for John Dougherty was last updated on October 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.