DR. THERESA EDWARDS (NPI# 1457375495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457375495 |
Entity Type | Individual |
Full Name | DR. THERESA EDWARDS |
Credential | PH.D. |
Practice Address |
8384 Six Forks Rd Suite 104 Raleigh NC 27615-5079 |
Mailing Address |
Po Box 98273 Raleigh NC 27624-8273 |
Practice Telephone | 9198454550 |
Mailing Telephone | 9198454550 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2014-01-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 1532 | NC | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1532 | NC | Behavioral Health & Social Service Providers |
N | 103TS0200X |
Psychologist Specialization: School |
1532 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | PSYCHOLOGY LICENSE | 1532 | 01 |
NC | BCBS PROVIDER # | 0333A | 01 |
NC | 6000501 | 05 | |
NC | HEALTH SERVICES PROVIDER | NONE | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427608793 | Theresa T Edwards | Homemaker | 44 Old Cedarbrook Rd, Wyncote, PA 19095-2039 | 2019-09-18 |
1679130546 | Theresa Lynne Edwards | Nurse Practitioner | 12900 Aires Dr, Amarillo, TX 79108-2858 | 2019-05-24 |
1003138645 | Theresa Diane Edwards | Social Worker | 445 4th St, Second Floor, Braddock, PA 15104-1463 | 2010-02-24 |
1013494558 | Theresa Kay Edwards | Registered Nurse | 8701 Old Troy Pike Ste 20, Huber Heights, OH 45424 | 2018-07-27 |
1962875260 | Theresa Edwards | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2015-11-09 |
1235424698 | Theresa Edwards | Counselor | 106 Ridgeway St Ste H, Hot Springs, AR 71901-7157 | 2011-06-14 |
1396985123 | Theresa Edwards | Counselor | 10 Independence Cir, Chico, CA 95973-0381 | 2009-03-06 |
1659588655 | Theresa Edwards | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-17 |
Street Address |
8384 SIX FORKS RD SUITE 104 |
City | RALEIGH |
State | NC |
Zip Code | 27615-5079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932711 | Twanna Monds | Counselor | 8384 Six Forks Rd, Raleigh, NC 27615-5079 | 2020-11-02 |
1780017004 | Diane Stakoe | Massage Therapist | 8384 Six Forks Rd, Suite 203, Raleigh, NC 27615-5079 | 2013-08-11 |
1124260682 | Rebecca Locklear Pierce | Massage Therapist | 8384 Six Forks Rd, Suite 203, Raleigh, NC 27615-5079 | 2009-03-30 |
1033351598 | Elizabeth Stuart Newton | Massage Therapist | 8384 Six Forks Rd, Suite #203, Raleigh, NC 27615-5079 | 2009-03-30 |
1013191295 | Clinical Healthcare Incorporated | Community/Behavioral Health | 8384 Six Forks Rd, Suite 201, Raleigh, NC 27615-5079 | 2007-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
Find all providers in zip 27615 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
1639643281 | Cherish Williams | Psychologist | 9207 Baileywick Rd Ste 203, Raleigh, NC 27615-1976 | 2019-01-16 |
1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
1184172603 | Amar R Saxena | Psychologist | 1201 Ridge Trace Dr Apt 205, Raleigh, NC 27606-4373 | 2016-09-13 |
1063897932 | Brandon Alyn Knettel | Psychologist | 8405 Dunnington Cir, Raleigh, NC 27613-8592 | 2015-07-21 |
1649679077 | Megan Pierson | Psychologist | 3309 Leesville Towns Ct, Raleigh, NC 27613-3403 | 2014-08-21 |
1942637905 | Jacquelyn Harrison | Psychologist | 1540 Sunday Dr Ste 200, Raleigh, NC 27607-6000 | 2013-10-04 |
1083056352 | Kendra R. Mccarty | Psychologist | 606 Wade Ave Ste 100, Raleigh, NC 27605-1391 | 2013-07-26 |
1528409737 | Patricia L. Clark | Psychologist | 117 Tecumseh Ct., Raleigh, NC 27607 | 2013-07-16 |
Find all providers in RALEIGH |
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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.