DIANNE MITCHELL, PH.D., PLLC (NPI# 1548470776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548470776 |
| Entity Type | Organization |
| Organization Name | DIANNE MITCHELL, PH.D., PLLC |
| Practice Address |
121 Reynolda Vlg Suite G Winston Salem NC 27106-5126 |
| Practice Telephone | 3367618600 |
| Practice Fax Number | 3367258550 |
| Mailing Telephone | 3367618600 |
| Mailing Fax Number | 3367258550 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-10-08 |
| Authorized Official Name | DR. DIANNE MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 3367618600 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5011 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | 04143 | 01 |
| Street Address |
121 REYNOLDA VLG SUITE G |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801150263 | Lyn P. Carpenter, Ph.d., Pllc | Psychologist | 121 Reynolda Vlg, Suite C, Winston Salem, NC 27106-5126 | 2012-06-30 |
| 1225248461 | Dianne Mitchell | Psychologist | 121 Reynolda Vlg, Suite G, Winston Salem, NC 27106-5126 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| 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 |
|---|---|---|---|---|
| 1477939213 | The Epilepsy Institute of Nc | Psychologist | 1311 Westbrook Plaza Dr Ste 100, Winston Salem, NC 27103-1327 | 2015-08-04 |
| 1558779785 | Tara Laymon | Psychologist | 4264 Saddlewood Forest Dr, Winston Salem, NC 27106-3576 | 2014-07-31 |
| 1780901926 | Howard Thomas Bosworth | Psychologist | 1304 Ashley Square, Winston Salem, NC 27103 | 2010-04-28 |
| 1043549900 | Gustavo Rafael Grodnitzky | Psychologist | 736 Mitch Dr, Winston Salem, NC 27104-5126 | 2009-12-23 |
| 1801003371 | Pamela D. Corbett | Psychologist | 3560 Buena Vista Rd, Winston Salem, NC 27106-5736 | 2007-05-16 |
| 1295870194 | Embrenche LLC | Psychologist | 1001 S Marshall St Ste 262, 1001 S Marshall Street Suite 262, Winston Salem, NC 27101-5852 | 2007-02-20 |
| 1154406411 | Vicky Gaye Surratt | Psychologist | 125 Ashleybrook Square, Winston Salem, NC 27103 | 2006-10-26 |
| 1659306488 | Jeffrey Alan Smith | Psychologist | 3455 Polo Rd, Suite 106, Winston Salem, NC 27106-4828 | 2006-07-11 |
| 1609800895 | David S. Bathory | Psychologist | 2575 Woodberry Dr, Winston Salem, NC 27106-4622 | 2006-07-11 |
| 1821037144 | William Maxwell Acree | Psychologist | 190 Kimel Park Dr Ste 121, Winston Salem, NC 27103-6946 | 2006-06-05 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.