TERRI MARTIN REVELLE (NPI# 1013109552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013109552 |
Entity Type | Individual |
Full Name | TERRI MARTIN REVELLE |
Credential | MA, LPA |
Practice Address |
111 E. Jefferson St. Jackson NC 27845 |
Mailing Address |
518 Pine Tops Rd Murfreesboro NC 27855-9663 |
Practice Telephone | 2525783918 |
Practice Fax Number | 2525341216 |
Mailing Telephone | 2525783918 |
Enumeration Date | 2007-08-17 |
Last Update Date | 2015-01-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 3749 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BLUE CROSS BLUE SHIELD | 157CH | 01 |
NC | 6107657 | 05 |
Street Address |
111 E. JEFFERSON ST. |
City | JACKSON |
State | NC |
Zip Code | 27845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114483674 | Sarah Beatrice Robinson | Speech-Language Pathologist | 200 Hampton Woods Road, Jackson, NC 27845 | 2019-02-20 |
1013244342 | Cnc/access Inc. | In Home Supportive Care | 9486 Nc Hwy 305, Jackson, NC 27845 | 2009-11-06 |
1699002923 | Cnc/access Inc | Community/Behavioral Health | 9486 Nc Highway 305, Jackson, NC 27845 | 2009-11-06 |
1881890424 | Northampton County Dss | Public Health or Welfare | 9467 Nc 305 Hwy., Jackson, NC 27845 | 2007-06-21 |
1588868400 | Northampton County | Ambulance | 132 Landfeild Road, Jackson, NC 27845 | 2007-06-13 |
1689626178 | Rural Health Group, Inc. | Clinic/Center | 9425 Nc 305 Hwy, Jackson, NC 27845 | 2006-05-16 |
1538687132 | Shatoya Ronique Joyner | Social Worker | 9486 Nc Highway 305, Jackson, NC 27845 | 2017-09-03 |
1760707996 | Integrated Family Services, Pllc | Social Worker | 9486 Nc Hwy 305, Jackson, NC 27845 | 2010-03-31 |
1659538825 | Megan Kathleen Farrelly | Dentist | 9409 Nc Hwy 305, Jackson, NC 27845 | 2008-05-16 |
1760668198 | Residential Loving Care Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2924 Bryantown Road, 105 West Main Street, Ahoskie, Nc 27910, Jackson, NC 27845-0000 | 2008-01-16 |
Find all providers in zip 27845 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
1972834604 | Sue C Radtke | Psychologist | 4476 Bittersweet Ct, Jackson, WI 53037-9754 | 2010-01-20 |
1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
1932253291 | Julia Goldensohn | Psychologist | 610 W. Broadway, Lo2g, Jackson, WY 83001 | 2007-01-23 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.