CATHERINE CLODFELTER PHD PA (NPI# 1578734018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578734018 |
| Entity Type | Organization |
| Organization Name | CATHERINE CLODFELTER PHD PA |
| Practice Address |
3000 Bethesda Pl Ste 102 Winston Salem NC 27103-3323 |
| Mailing Address |
Po Box 24937 Winston Salem NC 27114-4937 |
| Practice Telephone | 3369659944 |
| Practice Fax Number | 3366599845 |
| Mailing Telephone | 3366599440 |
| Mailing Fax Number | 3366599845 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | PROF. CATHERINE CLODFELTER (OWNER) |
| Authorized Official Telephone | 3366599440 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1575 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0338N | 01 |
| NC | 600336 | 05 |
| Street Address |
3000 BETHESDA PL STE 102 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922404839 | Marissa Griggs | Psychologist | 2905 Briarcliffe Rd, Winston Salem, NC 27106-3076 | 2014-11-05 |
| 1962640748 | David L Mount | Psychologist | 450 W Hanes Mill Rd, Suite Number 224, Winston Salem, NC 27105-9141 | 2009-02-02 |
| 1922277417 | Abc of Nc Child Development Center | Psychologist | 905 Friedberg Church Rd, Winston Salem, NC 27127-9803 | 2008-02-28 |
| 1871793497 | Myrna B. Williams | Psychologist | 1530 Martin St, Suite 203, Winston Salem, NC 27103-4936 | 2007-07-21 |
| 1205034477 | Dennis John Lynch | Psychologist | 823 W 5th St, Winston Salem, NC 27101-2544 | 2007-07-10 |
| 1114139862 | Linda Kimberly Dewindt | Psychologist | 1028 Franklin St, Winston Salem, NC 27101-5012 | 2007-05-04 |
| 1952526360 | David Christian Bullard | Psychologist | 2830 Maplewood Avenue, Suite A, Winston Salem, NC 27103-4114 | 2007-04-13 |
| 1619907987 | Linda Marie Nicolotti | Psychologist | 2910a Briarcliff Rd, Winston Salem, NC 27106-3077 | 2006-07-03 |
| 1114961406 | Michael Arnold Mccolloch | Psychologist | 1346 Ashley Sq, Winston Salem, NC 27103-2949 | 2006-06-16 |
| 1467494971 | Edward C. Dewindt-robson | Psychologist | 1311 Westbrook Plaza Dr, Suite 100, Winston Salem, NC 27103-1327 | 2006-06-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on CATHERINE CLODFELTER PHD PA.
| 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.