PAIN MANAGEMENT PSYCHOLOGY SERVICES, PA (NPI# 1255571410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255571410 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT PSYCHOLOGY SERVICES, PA |
| Practice Address |
160 Kimel Forest Dr. Ste. 100 Winston-salem NC 27103-6084 |
| Practice Telephone | 3367706451 |
| Practice Fax Number | 3367146475 |
| Mailing Telephone | 3367706451 |
| Mailing Fax Number | 3367146475 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | DR. TIMOTHY NORRIS WEBSTER (PRESIDENT) |
| Authorized Official Telephone | 3367706451 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0388 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DOL/OWCP (DEPARTMENT OF LABOR OFFICE OF WORKERS COMPENSATION PRO | 616591400 | 01 | |
| NC | 6006753 | 05 |
| Street Address |
160 KIMEL FOREST DR. STE. 100 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-6084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1275561938 | John Jay Woodmansee | Psychologist | 3935 Thorndale Dr, Winston-salem, NC 27106-3536 | 2006-06-29 |
| 1073577060 | John Frank Warren IIi | Psychologist | 840 W 4th St, Winston-salem, NC 27101-2502 | 2006-04-14 |
| 1932173416 | Arnold E Nelson | Psychologist | 435 Marshall View Ct, Winston-salem, NC 27101-5285 | 2006-02-14 |
| 1679578231 | Christine Venable | Psychologist | 2499 Henning Dr, Winston-salem, NC 27106-4558 | 2005-06-20 |
| 1740614064 | Andrew Paul Irwin-smiler | Psychologist | 2910 Briarcliff Road, Winston-salem, NC 27106 | 2013-08-22 |
| 1366645079 | Cecilia M Marshall | Psychologist | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2007-06-08 |
| 1639245012 | Sebastian Kaplan | Psychologist | Medical Center Blvd, Winston-salem, NC 27157 | 2006-11-28 |
| 1053376400 | Sally Jane Manner | Psychologist | 840 W 4th St, Winston-salem, NC 27101-2502 | 2006-04-19 |
| 1164406187 | Sarah Evelyn Treadway | Psychologist | Medical Center Blvd, Winston-salem, NC 27157 | 2005-12-02 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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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.