DEBORAH HALL PROFFITT (NPI# 1629020003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629020003 |
Entity Type | Individual |
Full Name | DEBORAH HALL PROFFITT |
Credential | M.A. |
Practice Address |
4425 Randolph Rd Suite 206 Charlotte NC 28211-2348 |
Mailing Address |
2705 Tanglewood Ln Charlotte NC 28211-1646 |
Practice Telephone | 7046094006 |
Practice Fax Number | 7044421656 |
Mailing Telephone | 7044421656 |
Mailing Fax Number | 7044421656 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103T00000X | Psychologist | 2443 | NC | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
2443 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | LICENSE- PSYCHOLOGICAL A. | 2443 | 01 |
Street Address |
4425 RANDOLPH RD SUITE 206 |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-2348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316425283 | Kelsey Horton | Pharmacist | 4425 Randolph Rd, Charlotte, NC 28211-2351 | 2018-08-02 |
1972011468 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 4425 Randolph Rd, Charlotte, NC 28211-2351 | 2018-01-18 |
1629474226 | Graham A. Hunter, Phd | Psychologist | 4425 Randolph Rd, Suite 411, Charlotte, NC 28211-2351 | 2014-11-08 |
1851700868 | Michelle Pfleeger Brown | Psychologist | 4425 Randolph Rd, Suite 411, Charlotte, NC 28211-2351 | 2014-08-05 |
1619385861 | Mills Counseling, Inc In Care of Ashley C Mills | Social Worker | 4425 Randolph Rd, Suite 217, Charlotte, NC 28211-2351 | 2014-07-31 |
1508127127 | Ann Smolin, Ph.d., Pllc | Psychologist | 4425 Randolph Rd, Suite 411, Charlotte, NC 28211-2351 | 2012-05-30 |
1164708228 | Shannon Kersey, Lpa | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2011-11-02 |
1881995850 | Mills Counseling, Pllc | Social Worker | 4425 Randolph Rd, Suite 305, Charlotte, NC 28211-2351 | 2010-11-08 |
1568782654 | Ashley Caroline Mills | Social Worker | 4425 Randolph Rd, Suite 217, Charlotte, NC 28211-2351 | 2010-06-11 |
1720318975 | Matthew Alan Lucas | Chiropractor | 4425 Randolph Rd, Suite 110, Charlotte, NC 28211-2351 | 2010-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
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] |
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1720698939 | Blue Ridge Behavior Systems Inc | Psychologist | 16147 Lancaster Hwy Ste 110, Charlotte, NC 28277-4196 | 2020-08-03 |
1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
1447721055 | Alexis Brightman, Pllc | Psychologist | 1914 J N Pease Pl Ste 172, Charlotte, NC 28262-4504 | 2018-12-07 |
1366920712 | Robbie Mae & Associates, LLC | Psychologist | 4020 Lakota Ct, Charlotte, NC 28269-4074 | 2018-07-29 |
1295222347 | Kathleen Lucey Hack | Psychologist | 9617 Runswyck Ct, Charlotte, NC 28269-8393 | 2018-04-15 |
1285133405 | Jill Pratt | Psychologist | 447 S Sharon Amity Rd Ste 140, Charlotte, NC 28211-2888 | 2018-02-02 |
1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
1093137093 | Epiphany Integrated Care Services, LLC | Psychologist | 4921 Albemarle Rd, Suite 203, Charlotte, NC 28205-6654 | 2014-01-09 |
1568891588 | Terrence Schofield | Psychologist | 6060 Piedmont Row Dr S Ste 120, Charlotte, NC 28287-2801 | 2013-11-12 |
Find all providers in CHARLOTTE |
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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.