EPIPHANY INTEGRATED CARE SERVICES, LLC (NPI# 1093137093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093137093 |
| Entity Type | Organization |
| Organization Name | EPIPHANY INTEGRATED CARE SERVICES, LLC |
| Practice Address |
4921 Albemarle Rd Suite 203 Charlotte NC 28205-6654 |
| Practice Telephone | 7042364067 |
| Mailing Telephone | 7042364067 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | VERA H MILLNER (CEO) |
| Authorized Official Telephone | 7042364067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 01 | 05 |
| Street Address |
4921 ALBEMARLE RD SUITE 203 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-6654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649732843 | Angels From Heaven Home Care 08 Sc LLC | Home Health | 4921 Albemarle Rd, Suite 110, Charlotte, NC 28205 | 2019-04-05 |
| 1649688953 | Avaya Health Services, LLC | Exclusive Provider Organization | 4921 Albemarle Rd, Suite 111, Charlotte, NC 28205-6654 | 2014-07-30 |
| 1386058626 | Life Choices Group | Community/Behavioral Health | 4921 Albemarle Rd, Suite 116, Charlotte, NC 28205-6654 | 2014-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| 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 |
|---|---|---|---|---|
| 1720698939 | Blue Ridge Behavior Systems Inc | Psychologist | 16147 Lancaster Hwy Ste 110, Charlotte, NC 28277-4196 | 2020-08-03 |
| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1447721055 | Alexis Brightman, Pllc | Psychologist | 1914 J N Pease Pl Ste 172, Charlotte, NC 28262-4504 | 2018-12-07 |
| 1366920712 | Robbie Mae & Associates, LLC | Psychologist | 4020 Lakota Ct, Charlotte, NC 28269-4074 | 2018-07-29 |
| 1295222347 | Kathleen Lucey Hack | Psychologist | 9617 Runswyck Ct, Charlotte, NC 28269-8393 | 2018-04-15 |
| 1285133405 | Jill Pratt | Psychologist | 447 S Sharon Amity Rd Ste 140, Charlotte, NC 28211-2888 | 2018-02-02 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1568891588 | Terrence Schofield | Psychologist | 6060 Piedmont Row Dr S Ste 120, Charlotte, NC 28287-2801 | 2013-11-12 |
| 1114362423 | Elon Homes and Schools for Children | Psychologist | 3801 Beatties Ford Rd, Charlotte, NC 28216-3215 | 2013-05-01 |
| Find all providers in CHARLOTTE | ||||
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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.