HEALTHCORE (NPI# 1205023884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205023884 |
| Entity Type | Organization |
| Organization Name | HEALTHCORE |
| Practice Address |
1100 Navaho Dr Suite 128 Raleigh NC 27609-7319 |
| Practice Telephone | 9198721178 |
| Practice Fax Number | 9198721170 |
| Mailing Telephone | 9198721178 |
| Mailing Fax Number | 9198721170 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-10-27 |
| Authorized Official Name | MISS ANGELA DEVON WILSON (PROGRAM MANAGER) |
| Authorized Official Telephone | 9198721178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTHCORE | 123 Justison St Ste 200, Wilmington, DE 19801-5365 |
| System for Award Management (SAM) Entities | HEALTHCORE CLINIC INC | 2707 E 21st N, Wichita, KS 67214-2249 |
| New York State Corporations | HEALTHCORE CONSULTING, INC. | 453 E 14th St #ma, New York, New York 10009-2822 |
| Oregon Corporations, Companies and Business Names | HEALTHCORE PSYCHIATRY CONSULTANTS PLLC | 649 Ne Hood Ave, Gresham, OR 97030 |
| Street Address |
1100 NAVAHO DR SUITE 128 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740251453 | Russell P Hopfenberg | Psychologist | 1100 Navaho Dr, Suite #123, Raleigh, NC 27609-7319 | 2006-01-30 |
| 1326340464 | North Carolina Recovery Support Services | Case Management | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2010-11-22 |
| 1346550522 | Jennifer Kathryn Stevens | Social Worker | 1100 Navaho Dr, Suite 114, Raleigh, NC 27609-7319 | 2010-10-20 |
| 1225348675 | Keri Genise Pannell | Counselor | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2010-10-19 |
| 1689992240 | Yvonne Michelle James | Counselor | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2010-05-06 |
| 1255660353 | Triangle Child Abuse Pediatric Services, Pllc | Pediatrics | 1100 Navaho Dr, Suite 121, Raleigh, NC 27609-7319 | 2009-12-18 |
| 1902048838 | Jill L Harris | Counselor | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2009-03-24 |
| 1851464150 | Nc Recovery Support Services | Case Management | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2006-11-16 |
| 1598799728 | Vivian Denise Everett | Pediatrics | 1100 Navaho Dr, Suite 121, Raleigh, NC 27609-7319 | 2006-07-11 |
| 1396709341 | Bruce Eads | Social Worker | 1100 Navaho Dr, Suite 123, Raleigh, NC 27609-7319 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552056 | Aspire Supportive & Counseling Services LLC | Psychologist | 130 E Morgan St, Raleigh, NC 27601-1410 | 2010-07-10 |
| 1982858023 | James Rhett Hartley | Psychologist | 3101 Paxton Pl, Raleigh, NC 27613-1341 | 2008-11-14 |
| 1487845459 | Lanelle Selby Taylor | Psychologist | 4020 Westchase Boulevard, Suite 130, Raleigh, NC 27607-3931 | 2007-08-06 |
| 1275557522 | Rodney Eugene Realon | Psychologist | 5708 Hedgemoor Dr, Raleigh, NC 27612-6322 | 2006-07-27 |
| 1235168170 | Catherine C. Matthews Ph.d. Inc. | Psychologist | 8408 Six Forks Rd, Suite 102, Raleigh, NC 27615-3076 | 2006-07-02 |
| 1578551487 | Capital Area Psychological Services, P.a. | Psychologist | 220 W Millbrook Rd, Raleigh, NC 27609-4304 | 2005-10-13 |
| 1396236055 | Rebecca Helms | Psychologist | 146 Wind Chime Ct, Raleigh, NC 27615-6433 | 2018-05-29 |
| 1649728452 | Leyla Bahojb Nouri | Psychologist | 3725 National Dr, Suite 220, Raleigh, NC 27612-4066 | 2016-09-21 |
| 1972788677 | Psychological Solutions Inc | Psychologist | 16 N Boylan Ave, #106, Raleigh, NC 27603-1446 | 2008-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497268387 | Shabazz Jama Chelley | Psychologist | 7 Elsworth Ct, Mc Leansville, NC 27301-9308 | 2017-11-14 |
| 1982156386 | Jacqueline Hersh | Psychologist | 522 White Oak Rd, Boone, NC 28607-7660 | 2016-11-01 |
| 1568800845 | Janice Patrice Dodge | Psychologist | 245 E Main Ave, Gastonia, NC 28052-4142 | 2013-06-10 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1245502798 | Restorative Support Services,inc | Psychologist | 2818 Queen City Dr Ste E, 2818- E Queen City Drive, Charlotte, NC 28208-2736 | 2012-01-30 |
| 1598064917 | Megan Jamine Henrichsen | Psychologist | 269 Westlake Rd, Ste. 201, Fayetteville, NC 28314-4867 | 2011-03-24 |
| 1598092538 | Stepping Stones Alternative Services | Psychologist | 4140 Ramsey St Ste 108, Fayetteville, NC 28311-7658 | 2009-11-12 |
| 1225271596 | Monica M. Glover | Psychologist | 5 Afton Pl, Durham, NC 27703-3797 | 2009-04-15 |
| 1164665873 | Murray Harold Merner | Psychologist | 626 Medical Dr, Greenville, NC 27834-7503 | 2009-04-10 |
| 1881832442 | Eric N Gadol | Psychologist | 911 Broad St, Durham, NC 27705-4141 | 2009-02-04 |
| Find all providers with the same taxonomy | ||||
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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.