EASTERN CAROLINA HEALTH RESOURCES (NPI# 1588782692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588782692 |
| Entity Type | Organization |
| Organization Name | EASTERN CAROLINA HEALTH RESOURCES |
| Practice Address |
3010 Trent Rd New Bern NC 28562-5735 |
| Practice Telephone | 2526360001 |
| Practice Fax Number | 2526362211 |
| Mailing Telephone | 2526360001 |
| Mailing Fax Number | 2526362211 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | DR. LARRY L HINES (CEO-CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2526360001 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
716 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
5307 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
3874 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C004230 | NC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1468 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000392 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780833269 | Eastern Carolina Health Resources | Community/Behavioral Health | 13814 Nc Hwy 55, Bayboro, NC 28515-9108 | 2008-09-09 |
| 1669620282 | Eastern Carolina Health Resources | Community/Behavioral Health | 108 W Caswell St, Kinston, NC 28501-4814 | 2008-09-08 |
| Street Address |
3010 TRENT RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992856389 | Amy Michele Portofe | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-01-14 |
| 1750619219 | Margaret Ann Minsk | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2009-11-20 |
| 1861692063 | Michelle Wensing Graziosi | Psychologist | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-07-25 |
| 1891904264 | Jean E Mccullum | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-05-22 |
| 1639299746 | Dixon Social Interactive Services Inc. | Community/Behavioral Health | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-03-30 |
| 1083750566 | Cleasther Riggs-gustus | Social Worker | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-01-30 |
| 1932250263 | Angella K Axelson | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972733814 | Abby Meakin Saunders | Psychologist | 1203 Coral Reef Ct, New Bern, NC 28560-7189 | 2009-07-24 |
| 1437322401 | Lori Vasquez Van Meir | Psychologist | 707 Professional Dr, New Bern, NC 28560-4547 | 2008-04-10 |
| 1871784538 | Maria Bernadette Munford | Psychologist | 1235 Colony Dr, New Bern, NC 28562-4156 | 2007-08-07 |
| 1093884819 | Child & Family Psychological Consultants, P.a. | Psychologist | 1425 S Glenburnie Rd Ste 1, New Bern, NC 28562-2610 | 2006-11-07 |
| 1255397626 | Carroll H Greene IIi | Psychologist | 6017 Cassowary Ln, New Bern, NC 28560-7170 | 2006-04-25 |
| 1306197629 | Colony Behavioral Health Group Pllc | Psychologist | 2807 Neuse Blvd, Ste 3, New Bern, NC 28562-2815 | 2012-09-26 |
| 1619228160 | Jessica Therese Dunham | Psychologist | 1304b Commerce Dr, New Bern, NC 28562-2212 | 2012-09-24 |
| 1508152711 | Carolina Behavioral Health Innovations, Pllc | Psychologist | 2129 S Glenburnie Rd, New Bern, NC 28562-5267 | 2011-06-26 |
| 1861692063 | Michelle Wensing Graziosi | Psychologist | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-07-25 |
| 1104954536 | Malinda L Breda | Psychologist | 2000 Neuse Blvd, New Bern, NC 28561 | 2007-02-28 |
| Find all providers in NEW BERN | ||||
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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.