DR. MICHAEL ROYCE PENLAND


Address: 5002-1 Hewletts Run, Wilmington, NC 28409
Phone: 8282306749

DR. MICHAEL ROYCE PENLAND (NPI# 1366611089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366611089
Entity Type Individual
Full Name DR. MICHAEL ROYCE PENLAND
Credential PH.D.
Practice Address 5002-1 Hewletts Run
Wilmington
NC 28409
Practice Telephone 8282306749
Practice Fax Number 9103995628
Mailing Telephone 8282306749
Mailing Fax Number 9103995628
Enumeration Date 2008-02-27
Last Update Date 2018-08-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1902 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC CIGNA BEHAVIORAL HEALTH 2021303, 01
NC 6000769 05
NC AETNA BEHAVIORAL HEALTH 9406987 01
NC RR MEDICARE P01192383 01
NC BCBSNC 0441M 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3205 Randall Pkwy Ste 105, Wilmington, NC 284032565 9107429243 8887461787

Office Location

Street Address 5002-1 HEWLETTS RUN
City WILMINGTON
State NC
Zip Code 28409

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952916728 Emily Savannah Holland Specialist/Technologist 1150 King's Hwy, Wilmington, NC 28409 2020-09-09
1912373465 Thomas Malenfant Hearing Instrument Specialist 474 New Centre Drive, #6, Wilmington, NC 28409 2015-08-19
1720482862 Leslie Morton Garris Pharmacist 6013 Chancellorville Drive, Wilmington, NC 28409 2014-10-17
1659621720 Charles Warren Moorehead Social Worker 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 2012-09-14
1992972020 Nancy Beth Kotz Social Worker 6211 Terrapin Ct, Wilmington, NC 28409 2008-05-08
1184755092 Keith W Mann Dentist 818-101 Pine Grove Drive, Wilmington, NC 28409 2007-03-09
1477650554 Jeffrey Beecham Chick Specialist 1201 Porches Dr, Suite 2, Wilmington, NC 28409 2006-09-20
1407964067 Richard A. Lally Counselor 5425 Golden Eagle Court, Wilmington, NC 28409 2006-08-25
1598290520 Monaca Lachman Counselor 6020 Leeward Ln, Wilmington, NC 28409-0129 2017-04-27
1497180855 Audrey E Worthington Counselor 1808 Bungalow Row, Wilmington, NC 28409-1405 2013-09-04
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679193114 Inroad Behavioral and Social Health Psychologist 3304 Old Capitol Trl Ste 201, Wilmington, DE 19808-6210 2020-04-24
1609496124 Doko Medical Inc. Psychologist 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 2020-04-24
1407487226 James Francis Skane Jr. Psychologist 123 S 29th St, Wilmington, NC 28403-1223 2020-01-30
1346733631 Renee Davis Psychologist 920 Morningdale Dr, Wilmington, DE 19810-1458 2018-06-11
1982103206 Elizabeth De La Pena Psychologist 1333 Island Ave, Wilmington, CA 90744-2501 2018-02-02
1841728532 Rogelio Mercado Psychologist 1801 Rockland Rd Ste 201, Wilmington, DE 19803-3648 2017-05-25
1497289375 Aitza Galarza-hernandez Psychologist 7517 Quail Woods Rd, Wilmington, NC 28411-7273 2017-04-17
1407206816 Leeann Trudel Psychologist 114 Rockland Cir, Wilmington, DE 19803-4542 2016-06-16
1972964427 Ostin M Warren Psychologist 3411 N Rockfield Dr, Wilmington, DE 19810-3237 2016-03-11
1164882353 Erika Blinn Geisler Psychologist 330 Military Cutoff Rd, Suite A-4, Wilmington, NC 28405-8356 2016-03-01
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Competitor

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City WILMINGTON
Zip Code 28409

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Dataset Information

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.

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