PRECISION HEALTH CARE SERVICES


Address: 311 Judges Rd, Bldg 4, Wilmington, NC 28405-3651
Phone: 9107916767

PRECISION HEALTH CARE SERVICES (NPI# 1447675285) 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) 1447675285
Entity Type Organization
Organization Name PRECISION HEALTH CARE SERVICES
Practice Address 311 Judges Rd
Bldg 4
Wilmington
NC 28405-3651
Practice Telephone 9107916767
Mailing Telephone 9107916767
Enumeration Date 2014-03-04
Last Update Date 2014-07-29
Authorized Official Name MATT FETTER (CORPORATE DIRECTOR)
Authorized Official Telephone 2523271815
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 024MW 01
NC 3410033 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548684756 Precision Health Care Services Community/Behavioral Health 546 Sandy Cross Rd, Reidsville, NC 27320-7820 2014-02-07

Office Location

Street Address 311 JUDGES RD
BLDG 4
City WILMINGTON
State NC
Zip Code 28405-3651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225020696 Diane Henderson Social Worker 311 Judges Rd, 4e, Wilmington, NC 28405-3651 2005-08-22
1902354145 Brandi Michelle Knight Nurse Practitioner 311 Judges Rd, 4-e, Wilmington, NC 28405-3651 2016-09-16
1083987705 Dana Renee Chambers Counselor 311 Judges Rd, Unit E, Wilmington, NC 28405-3651 2012-02-10
1447288220 Kim Anne Johnson Counselor 311 Judges Rd, Unit E, Wilmington, NC 28405-3651 2006-06-29
1891747556 Douglas Michael Owen Counselor 311 Judges Rd, Unit E, Wilmington, NC 28405-3651 2006-05-17
1427021344 American Homepatient, Inc. Durable Medical Equipment & Medical Supplies 311 Judges Rd, Building 2, Unit 1, Wilmington, NC 28405-3651 2006-02-10
1255323622 Barry Allen Moore Psychiatry & Neurology 311 Judges Rd, Building 4e, Wilmington, NC 28405-3651 2005-08-22
1912999384 David Lewis Smith Physician Assistant 311 Judges Rd, 4e, Wilmington, NC 28405-3651 2005-08-22

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1568718328 Cameron Nichole Ford Occupational Therapy Assistant 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 2012-07-31
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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]

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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
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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
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Competitor

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City WILMINGTON
Zip Code 28405

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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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