CAMERON GRANT FORD


Address: 614 Country Club Road, Winston-salem, NC 27104
Phone: 3367166099

CAMERON GRANT FORD (NPI# 1447807664) 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) 1447807664
Entity Type Individual
Full Name CAMERON GRANT FORD
Credential PHD
Practice Address 614 Country Club Road
Winston-salem
NC 27104
Mailing Address 100 Kimel Forest Dr
Winston Salem
NC 27103-6074
Practice Telephone 3367166099
Mailing Telephone 3367161332
Enumeration Date 2019-08-22
Last Update Date 2019-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

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

Other Providers CAMERON FORD

NPI Name Taxonomy Address Enumeration
1568718328 Cameron Nichole Ford Occupational Therapy Assistant 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 2012-07-31
1447726500 Cameron Keith Ford Physical Therapy Assistant 12910 E 86th St N, Owasso, OK 74055-8701 2018-10-16

Office Location

Street Address 614 COUNTRY CLUB ROAD
City WINSTON-SALEM
State NC
Zip Code 27104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104310374 Novant Medical Group, Inc. Internal Medicine 4937 Old Country Club Rd, Winston Salem, NC 27104 2018-06-20
1982100509 Dillon James Magalski Student in an Organized Health Care Education/Training Program Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 2018-04-03
1891290144 Breann M Poling Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 2018-03-28
1689178600 Christopher Vasil Student in an Organized Health Care Education/Training Program Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 2018-03-23
1407379126 April Lynn Lowe Registered Nurse 940 N Peace Haven Rd, Winstonsalem, NC 27104 2017-07-25
1164950804 Donald Joyce Student in an Organized Health Care Education/Training Program 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 2017-05-25
1255867289 Benjamin Hansen Pharmacist 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 2017-05-11
1770020976 Jane Reed Physical Medicine & Rehabilitation 2627 E Greenbrier Road, Winston Salem, NC 27104 2017-01-25
1053728261 Ashraf Alsaedi Pharmacist 1659 Stratford Rd Nw, Winston Salem, NC 27104 2014-07-20
1083040430 Jennifer Nichole Darago Pharmacist 500 Park Ridge Ct Apt B, Winston-salem, NC 27104 2013-09-17
Find all providers in zip 27104

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
1255571410 Pain Management Psychology Services, Pa Psychologist 160 Kimel Forest Dr., Ste. 100, Winston-salem, NC 27103-6084 2009-03-02
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

Competitor

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City WINSTON-SALEM
Zip Code 27104

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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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