DEBORAH HALL PROFFITT


Address: 4425 Randolph Rd, Suite 206, Charlotte, NC 28211-2348
Phone: 7046094006

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC LICENSE- PSYCHOLOGICAL A. 2443 01

Office Location

Street Address 4425 RANDOLPH RD
SUITE 206
City CHARLOTTE
State NC
Zip Code 28211-2348

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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