REID WHITESIDE, PH.D., P.C. (NPI# 1356757918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356757918 |
Entity Type | Organization |
Organization Name | REID WHITESIDE, PH.D., P.C. |
Practice Address |
1616 Evans Rd Ste 202 Cary NC 27513 |
Practice Telephone | 9196778700 |
Practice Fax Number | 9196511007 |
Mailing Telephone | 9196778700 |
Mailing Fax Number | 9196511007 |
Enumeration Date | 2014-07-03 |
Last Update Date | 2014-07-03 |
Authorized Official Name | DR. REID WHITESIDE (OWNER) |
Authorized Official Telephone | 9196778700 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
1507 | NC | Behavioral Health & Social Service Providers |
Street Address |
1616 EVANS RD STE 202 |
City | CARY |
State | NC |
Zip Code | 27513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
Find all providers in zip 27513 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104460807 | Melissa Martell Senior | Psychologist | 103 Brady Ct, Cary, NC 27511-4574 | 2019-11-05 |
1306321203 | Lynne Wilson Taylor | Psychologist | 1901 N Harrison Ave Ste 100, Cary, NC 27513-5597 | 2018-09-27 |
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1063047793 | Carolinas Center for Evaluation and Treatment | Psychologist | 18151 W Catawba Ave Unit 15, Cornelius, NC 28031-5641 | 2020-03-03 |
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1124670500 | Jenny Renville | Psychologist | 4600 Colony Rd Apt D, Charlotte, NC 28226-4833 | 2019-07-15 |
1942862552 | Edh1 LLC | Psychologist | 9027 Tibble Creek Way, Charlotte, NC 28227-6670 | 2019-07-03 |
1316446529 | Tiffany C. L. Bowden | Psychologist | 7341 Windy Ct W, Bailey, NC 27807 | 2018-02-03 |
1669983391 | Vickie Barnes | Psychologist | 110 Cameron Dr Apt 202, Elizabeth City, NC 27909-8914 | 2017-10-20 |
1194132878 | Stephen C Messer | Psychologist | 302 Copperline Dr Apt D, Chapel Hill, NC 27516-0416 | 2014-07-15 |
1053755934 | Alisaha's Home Center | Psychologist | 8221 Ainsworth St, Charlotte, NC 28216-3693 | 2013-04-23 |
1982914560 | Alison Stacy Draper | Psychologist | 278 W Millbrook Rd, Raleigh, NC 27609 | 2010-10-15 |
1578879169 | Child's Play Therapy Center, Inc | Psychologist | 3401-b Village Drive, Fayetteville, NC 28304-7583 | 2010-08-20 |
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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.