THOMAS PINCKNEY MCILWAIN (NPI# 1124022942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124022942 |
| Entity Type | Individual |
| Full Name | THOMAS PINCKNEY MCILWAIN |
| Credential | M.D. |
| Practice Address |
3425 Melrose Rd Fayetteville NC 28304-1608 |
| Practice Telephone | 9106093700 |
| Practice Fax Number | 9106093784 |
| Mailing Telephone | 9106093700 |
| Mailing Fax Number | 9106093784 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
31174 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8956752 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477781417 | Thomas Glynn Mcilwain | Occupational Therapist | 1120 Boardwalk, Sumter, SC 29150-1766 | 2009-06-29 |
| Street Address |
3425 MELROSE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183682 | Mary Christine Chupkowski | Counselor | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2005-06-09 |
| 1013403369 | Shakira D Nelson | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2018-07-10 |
| 1831510882 | Ian Ward | Physician Assistant | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2013-12-18 |
| 1962746016 | Tanja O Mcnelis | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2012-11-15 |
| 1053550392 | Behavioral Health of Cape Fear Valley Health System | Psychiatric Hospital | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2009-02-10 |
| 1710028139 | Ramona M Smerz | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2007-02-09 |
| 1215967989 | Mary Ellen Lavoie | Social Worker | 3425 Melrose Rd, Cape Fear Valley Behavioral Health Care, Fayetteville, NC 28304-1608 | 2006-07-05 |
| 1356397004 | Kenneth Gregory Smith | Social Worker | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2006-05-25 |
| 1073579918 | Navpreet Brar | Psychiatry & Neurology | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2006-04-20 |
| 1811957111 | Lee Graham Raudenbush | Physician Assistant | 3425 Melrose Rd, Behavioral Health Care, Fayetteville, NC 28304-1608 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316694 | Suzanne Nicholas LLC | Psychiatry & Neurology | 2224 Riverfront Ln, Fayetteville, AR 72703-9527 | 2017-02-24 |
| 1417310491 | Murray Fork Clinic, PC | Psychiatry & Neurology | 6020 Morganton Road, Fayetteville, NC 28314-1352 | 2016-03-29 |
| 1003225491 | Johari Family Services, LLC | Psychiatry & Neurology | 701 Whitfield St, Fayetteville, NC 28306-1617 | 2014-08-11 |
| 1609154509 | Saguaro Group LLC | Psychiatry & Neurology | 2800 Breezewood Drive, Ste 100, Fayetteville, NC 28303-5282 | 2011-07-26 |
| 1699065110 | Jacquelyn Rae Lange-halley | Psychiatry & Neurology | 2580 E Joyce Blvd Ste 1, Fayetteville, AR 72703-3924 | 2011-04-18 |
| 1124343918 | Dorothee S Mecum | Psychiatry & Neurology | 28 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2010-04-05 |
| 1922269018 | Kevin M Lamm | Psychiatry & Neurology | 1724 Roxie Avenue, Fayetteville, NC 28304 | 2008-06-20 |
| 1780871152 | Atul Kantesaria Md Pllc | Psychiatry & Neurology | 105 Hunter Cir, Fayetteville, NC 28304-3407 | 2007-10-01 |
| 1942496005 | James Robert Parks | Psychiatry & Neurology | 102 E Sunbridge Dr, Suite 1, Fayetteville, AR 72703-2830 | 2007-09-21 |
| 1144353699 | Trevor Nagib Iskander | Psychiatry & Neurology | 280 Salt Springs St, Fayetteville, NY 13066-2258 | 2007-03-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.