CAROLINA PSYCHOLOGICAL ASSOCIATES LLP (NPI# 1336286558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336286558 |
| Entity Type | Organization |
| Organization Name | CAROLINA PSYCHOLOGICAL ASSOCIATES LLP |
| Practice Address |
501a Executive Pl Fayetteville NC 28305-5121 |
| Practice Telephone | 9104844776 |
| Practice Fax Number | 9104841678 |
| Mailing Telephone | 9104844776 |
| Mailing Fax Number | 9104841678 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | ALLEN MUMPER (GENERAL MANAGER) |
| Authorized Official Telephone | 9104844776 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1877 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C003490 | NC | Behavioral Health & Social Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
95-01354 | NC | Allopathic & Osteopathic Physicians |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1875 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS | 02732 | 01 |
| Street Address |
501A EXECUTIVE PL |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649259573 | Alessandra Mariachiara Nelson | Counselor | 501a Executive Pl, Fayetteville, NC 28305-5121 | 2006-01-10 |
| 1962534354 | Karen T Irizarry Pllc | Social Worker | 501a Executive Pl, Fayetteville, NC 28305-5121 | 2007-03-12 |
| 1245310713 | Linda Pendleton | Psychologist | 501a Executive Pl, Fayetteville, NC 28305-5121 | 2006-10-17 |
| 1841370400 | Dennis Sternlight | Psychologist | 501a Executive Pl, Fayetteville, NC 28305-5121 | 2006-10-17 |
| 1609956937 | Michael Blair | Counselor | 501a Executive Pl, Fayetteville, NC 28305-5121 | 2006-10-17 |
| 1720050685 | Allen D Mumper | Psychologist | 501a Executive Pl, Fayetteville, NC 28305-5121 | 2006-02-06 |
| 1619956448 | Karen Tonge Irizarry | Counselor | 501a Executive Pl, Fayetteville, NC 28305-5121 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969657 | Kathleen Ratcliff Andrews | Psychologist | 2300 Ramsey St # B51t, Fayetteville, NC 28301-3856 | 2019-12-16 |
| 1740757731 | Dia Boutwell | Psychologist | 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 | 2018-10-27 |
| 1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
| 1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
| 1538578992 | Nicole Dreiling | Psychologist | 351 Wagoner Dr Ste 130, Fayetteville, NC 28303-4669 | 2014-08-10 |
| 1255627717 | Colleen Quinn | Psychologist | 200 Mason St, 2nd Floor, Fayetteville, NC 28301-5041 | 2011-06-23 |
| 1518278373 | Ingrid Jacobs | Psychologist | 1 E Center St Ste 333, Fayetteville, AR 72701-5349 | 2010-06-27 |
| 1427372119 | Sandra V Heinsz | Psychologist | 290 Ashborough Park, Fayetteville, GA 30215-6514 | 2010-03-24 |
| 1134361546 | Elizabeth E Knowles, Ph.d., Pa | Psychologist | 4241 N Gabel Dr, Fayetteville, AR 72703-5004 | 2009-03-31 |
| 1982846671 | Louis P. Anderson | Psychologist | 120 Michael Ct, Fayetteville, GA 30215-1846 | 2009-03-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on CAROLINA PSYCHOLOGICAL ASSOCIATES LLP.
| 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.