ELIZABETH A DEROUIN (NPI# 1043831639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043831639 |
| Entity Type | Organization |
| Organization Name | ELIZABETH A DEROUIN |
| Practice Address |
422 W 9th St Newton NC 28658-3819 |
| Mailing Address |
2030 Mosteller Estate Ave Se Hickory NC 28602-3464 |
| Practice Telephone | 9104946000 |
| Mailing Telephone | 9104946000 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | ELIZABETH ALEXANDRIA DEROUIN (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 9104946000 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1275004111 | 05 |
| Street Address |
422 W 9TH ST |
| City | NEWTON |
| State | NC |
| Zip Code | 28658-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427024 | Healthstat Onsite Clinic Mccreary Modern Plant 4 | Preventive Medicine | 3483 Saint James Church Road, Newton, NC 28658 | 2020-04-29 |
| 1578977179 | Endeavors Pediatric Therapy Services, LLC | Occupational Therapist | Mt Olive Church Rd, Newton, NC 28658 | 2014-06-12 |
| 1033428289 | Homefirst Healthcare Services, LLC | Home Infusion | 805 W. 25th Street, Newton, NC 28658 | 2010-10-05 |
| 1184959330 | The Mental Health Fund Inc | Community Based Residential Treatment Facility, Mental Illness | 120b West D Street, Newton, NC 28658 | 2009-10-06 |
| 1003957531 | Lynn Isenhower Mullinax | Counselor | 22 South Main Avenue, Newton, NC 28658 | 2007-02-09 |
| 1588723852 | Frank Alan Younce | Occupational Therapist | 1897 Wellington Ave, Newton, NC 28658 | 2006-12-06 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| 1174566376 | Clifton Wade Pernell | Dentist | 430 West 20th Street, Newton, NC 28658 | 2006-06-14 |
| 1093777120 | Pendleton Glass Waldron | Dentist | 430 West 20th St, Newton, NC 28658 | 2006-04-04 |
| 1336144377 | Elizabeth M Owens | Physician Assistant | 3975 Robinson Rd, Newton, NC 28658 | 2005-06-16 |
| Find all providers in zip 28658 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
| 1427538388 | Amanda Rauf Psyd | Psychologist | 1280 Centre St Ste 210c, Newton, MA 02459-1553 | 2018-08-20 |
| 1477053635 | Danielle Filshtinsky | Psychologist | 1340 Centre St Ste 209, Newton, MA 02459-2453 | 2018-02-14 |
| 1841667078 | Lanajean Mccloy | Psychologist | 15 Cypress St Ste 201, Newton, MA 02459-2242 | 2015-08-24 |
| 1669713863 | Neuropsych Assessments of Greater Boston | Psychologist | 56 Winchester St, Suite 5, Newton, MA 02461-1709 | 2013-03-13 |
| 1013285212 | John R. Weisz | Psychologist | 96 Dexter Rd, Newton, MA 02460-2409 | 2011-12-02 |
| 1427334333 | Kaethe Weingarten | Psychologist | 82 Homer St, Newton, MA 02459-1517 | 2011-10-25 |
| 1437446739 | Carmela Josephine Decandia | Psychologist | 24r School St, Newton, MA 02458-1518 | 2011-07-07 |
| 1073817037 | Yael Chatav Schonbrun | Psychologist | 102 Floral St, 2, Newton, MA 02461-1523 | 2011-01-06 |
| 1558665513 | Ruth Karen Saemann | Psychologist | 24 Hood St, Newton, MA 02458-2441 | 2011-01-05 |
| Find all providers in NEWTON | ||||
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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.