GATES PSYCHOLOGICAL SERVICES (NPI# 1033564349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033564349 |
| Entity Type | Organization |
| Organization Name | GATES PSYCHOLOGICAL SERVICES |
| Practice Address |
1606 Wellington Ave Wilmington NC 28401-7747 |
| Practice Telephone | 9107936144 |
| Practice Fax Number | 9107936140 |
| Mailing Telephone | 9107936144 |
| Mailing Fax Number | 9107936140 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | DR. GEORGE NELSON GATES (OWNER) |
| Authorized Official Telephone | 9107936144 |
| Authorized Official Credential | DMIN, MA, LPA, L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2291 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1606 WELLINGTON AVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043274186 | Kim R Smith | Counselor | 1606 Wellington Ave, Suite C, Wilmington, NC 28401-7747 | 2006-04-14 |
| 1598035032 | Peter George Zack | Pediatrics | 1606 Wellington Ave, Suite E, Wilmington, NC 28401-7747 | 2011-12-30 |
| 1114256906 | Community Support Professionals,llc | Community/Behavioral Health | 1606 Wellington Ave, Unit F, Wilmington, NC 28401-7704 | 2009-12-08 |
| 1326276007 | Community Support Professionals,llc | Counselor | 1606 Wellington Ave, Unit C, Wilmington, NC 28401-7704 | 2009-07-01 |
| 1083858559 | Ashley Holland Putney | Nurse Practitioner | 1606 Wellington Ave, Suite E, Wilmington, NC 28401-7747 | 2009-04-28 |
| 1346486891 | Seaside Pediatrics | Pediatrics | 1606 Wellington Ave, Suite E, Wilmington, NC 28401-7747 | 2009-01-05 |
| 1790954741 | Roy Kenneth Vogel | Psychologist | 1606 Wellington Ave, Unit H, Wilmington, NC 28401-7747 | 2008-02-25 |
| 1093922429 | Linda Oldham Ikle | Psychologist | 1606 Wellington Ave, Unit H, Wilmington, NC 28401-7747 | 2007-05-16 |
| 1316164155 | Jessica Beth Jaskolka | Pediatrics | 1606 Wellington Ave, Suite E, Wilmington, NC 28401-7747 | 2007-04-20 |
| 1841329885 | Jeremy Seth Pepper | Physician Assistant | 1606 Wellington Ave, Suite A, Wilmington, NC 28401-7747 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547953 | Melanie F. Lipton | Psychologist | 1601 Kirkwood Hwy Fl 3, Wilmington, DE 19805-4917 | 2019-09-19 |
| 1063962512 | Toni D. Hickman, LLC | Psychologist | 36 Paxon Dr, Wilmington, DE 19803-2002 | 2016-10-08 |
| 1154771871 | Patricia Maynard | Psychologist | 230 Lowell St Ste 2-j, Wilmington, MA 01887-3087 | 2016-06-14 |
| 1881050904 | Toni Dean Hickman | Psychologist | 1813 Marsh Rd, Ste C, Wilmington, DE 19810-4544 | 2016-01-05 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1720383193 | Kristen Lane Sprout | Psychologist | 2417 Silverside Rd, Wilmington, DE 19810-4531 | 2011-01-17 |
| 1548564487 | Pamela Calvert-hirt | Psychologist | 326 Hampton Rd, Wilmington, DE 19803-2420 | 2011-01-07 |
| 1801199583 | Jill N Baillio | Psychologist | 205 S 5th Ave, Unit 3, Wilmington, NC 28401-4549 | 2010-12-17 |
| 1114151594 | Crossroads Counseling, P.C. | Psychologist | 4320 Wrightsville Ave, Suite B, Wilmington, NC 28403-6336 | 2009-05-13 |
| 1164663258 | Rah Inc. | Psychologist | 111 Chatham Pl, Wilmington, DE 19810-4441 | 2009-03-19 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.