DR. JERRY A COFFEY (NPI# 1215043351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215043351 |
| Entity Type | Individual |
| Full Name | DR. JERRY A COFFEY |
| Credential | PHD |
| Practice Address |
186 Medical Park Loop Suite 502 Sylva NC 28779-5222 |
| Practice Telephone | 8285865555 |
| Practice Fax Number | 8285865555 |
| Mailing Telephone | 8285865555 |
| Mailing Fax Number | 8285865555 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0430 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 03377 | 01 |
| NC | 60-00043 | 05 |
| Street Address |
186 MEDICAL PARK LOOP SUITE 502 |
| City | SYLVA |
| State | NC |
| Zip Code | 28779-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267897 | Western Carolina Pulmonary & Critical Care, Pllc | Internal Medicine | 186 Medical Park Loop, Suite 503, Sylva, NC 28779-5222 | 2005-12-29 |
| 1881015675 | Mission Hospitals, Inc. | Genetic Counselor, MS | 186 Medical Park Loop, Suite 501, Sylva, NC 28779-5275 | 2013-12-20 |
| 1801131479 | Mission Medical Associates, Inc. | Pediatrics | 186 Medical Park Loop, Suite 501, Sylva, NC 28779-5275 | 2012-12-07 |
| 1346477759 | Harris Regional Hospital Inc | Internal Medicine | 186 Medical Park Loop, Suite 503, Sylva, NC 28779-5222 | 2009-06-12 |
| 1154476125 | Judith J Seago | Pediatrics | 186 Medical Park Loop, Ste 501, Sylva, NC 28779-5222 | 2007-01-23 |
| 1790830636 | Jai R Kumar | Pediatrics | 186 Medical Park Loop, Ste 501, Sylva, NC 28779-5222 | 2007-01-23 |
| 1902951858 | Sylva Pediatric Associates, Pa | Pediatrics | 186 Medical Park Loop, Ste 501, Sylva, NC 28779-5222 | 2007-01-23 |
| 1659456564 | Angela Valory Connaughton | Internal Medicine | 186 Medical Park Loop, Suite 503, Sylva, NC 28779-5275 | 2006-10-26 |
| 1952495525 | Jodie Bembry Wade | Nurse Practitioner | 186 Medical Park Loop, Suite 503, Sylva, NC 28779-5222 | 2006-10-03 |
| 1669588703 | Elizabeth A Tulou | Psychologist | 186 Medical Park Loop, Suite 502, Sylva, NC 28779-5222 | 2006-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1538702667 | Charlie C Lytle | Speech-Language Pathologist | 185 Brick Farm Rd, Sylva, NC 28779 | 2019-10-22 |
| 1174040869 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 516 Parris Branch Rd, Sylva, NC 28779 | 2017-08-24 |
| 1235562133 | Michelle Cooper Cagle | Social Worker | 587 Cope Creek Rd, Sylva, NC 28779 | 2013-08-14 |
| 1336459049 | Sara Ellen Curry | Social Worker | 98 D Cope Creek Road, Sylva, NC 28779 | 2010-10-15 |
| 1902137128 | Skyland House, LLC | Assisted Living Facility | 185 Brickfarm Road, Dillsboro, NC 28779 | 2010-01-28 |
| 1538349931 | Family Preservation Services of North Carolina, Inc. | Psychiatry & Neurology | 206 Marsh Lily Drive, Sylva, NC 28779 | 2007-11-14 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1285836205 | Peter C Buck | Counselor | 132 Ramblewood Dr., Sylva, NC 28779 | 2007-06-01 |
| 1508088873 | Pathways for The Future | Home Health | 525 Mineral Springs Drive, Sylva, NC 28779 | 2007-05-03 |
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| 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 |
|---|---|---|---|---|
| 1932406931 | Michael Lad Mcintosh | Psychologist | 303 King Fisher Ln, Sylva, NC 28779-7714 | 2011-02-28 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1558412981 | John Ross Ritchie | Psychologist | 103 Sylvan Hts, Sylva, NC 28779-2543 | 2007-01-14 |
| 1326140609 | Sylva Clinical Associates, Pa | Psychologist | 186 Medical Park Lp, Suite 502, Sylva, NC 28779 | 2006-09-05 |
| 1912410606 | Rebecca Bryson Hester | Psychologist | 70 Westcare Dr Ste 402, Sylva, NC 28779-5279 | 2017-11-16 |
| 1619379617 | Grace Love | Psychologist | 44 Bonnie Ln, Sylva, NC 28779-8511 | 2014-09-22 |
| 1770811291 | Paul Borden Ingram | Psychologist | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2009-11-20 |
| 1811128549 | Lydia A Aydlett | Psychologist | 98d Cope Creek Rd, Sylva, NC 28779-9508 | 2009-07-29 |
| 1497876148 | Ben Haffey | Psychologist | 154 Medical Park Loop, Sylva, NC 28779-5222 | 2007-04-02 |
| 1902939572 | Stephen Reed Russell | Psychologist | 154 Medical Park Loop, Sylva, NC 28779-5222 | 2007-03-13 |
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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.