PROF. SUSAN MICHELLE WHICHARD (NPI# 1669698445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669698445 |
| Entity Type | Individual |
| Full Name | PROF. SUSAN MICHELLE WHICHARD |
| Credential | PH.D. |
| Practice Address |
2310 Stinson Dr Rm 612, Psychoeducational Clinic-ncsu Raleigh NC 27695-0001 |
| Mailing Address |
2310 Stinson Dr Room 612 Psychoeducational Clinic, Ncsu Raleigh NC 27695-0001 |
| Practice Telephone | 9195151713 |
| Practice Fax Number | 9195151716 |
| Mailing Telephone | 9195151713 |
| Mailing Fax Number | 9195151716 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
2897 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2310 STINSON DR RM 612, PSYCHOEDUCATIONAL CLINIC-NCSU |
| City | RALEIGH |
| State | NC |
| Zip Code | 27695-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255448346 | Patricia Walton Collins | Psychologist | 2310 Stinson Dr, Ncsu Department of Psychology Poe Hall Rm 640, Raleigh, NC 27695-7650 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911150 | Joy Bataille | Pharmacist | 2815 Cates Avenue, Raleigh, NC 27695 | 2017-06-08 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 1023523552 | Soo Young Uhm | Dietitian, Registered | 2815 Cates Avenue Campus Box 7304, Raleigh, NC 27695-0001 | 2017-12-06 |
| 1578088316 | Andrew Bagley | Emergency Medicine | 2500 Warren Caroll Drive, Raleigh, NC 27695-0001 | 2017-08-12 |
| 1184149312 | Mianmian Sun | Pharmacist | 2815 Cates Ave Box 7304, Raleigh, NC 27695-0001 | 2017-08-09 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
| 1457577975 | Sasha J Fradin | Psychologist | Ncsu Psychoeducational Clinic, Campus Box 7650, Raleigh, NC 27695-0001 | 2007-04-17 |
| 1699390021 | Scott Donald Ensell | Specialist/Technologist | 2500 Warren Carroll Dr, Raleigh, NC 27695-0001 | 2020-06-11 |
| Find all providers in zip 27695 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134637390 | Laura Courtney Kirby | Psychologist | 4090 Barrett Dr, Raleigh, NC 27609-6604 | 2018-01-22 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1881007078 | Mary Whitehouse | Psychologist | 301 Saint Marys St, Raleigh, NC 27605-1731 | 2014-06-05 |
| 1710317649 | Erica Nivens | Psychologist | 600 Emerywood Dr, Raleigh, NC 27615-1529 | 2013-11-13 |
| 1962704007 | Caryn Sabourin Ward | Psychologist | 7620 Derek Dr, Raleigh, NC 27613-5802 | 2010-11-22 |
| 1407028152 | Barbara Carol Vatz | Psychologist | 2801 Manning Pl, Raleigh, NC 27608-1137 | 2008-04-01 |
| 1134314628 | Petals Catrece Rainey-boone | Psychologist | 1317 Ujamaa Dr, Raleigh, NC 27610-5773 | 2007-09-08 |
| 1255448346 | Patricia Walton Collins | Psychologist | 2310 Stinson Dr, Ncsu Department of Psychology Poe Hall Rm 640, Raleigh, NC 27695-7650 | 2006-08-24 |
| 1124253299 | Henri Arthur Belfon Jr. | Psychologist | 2413 Crabtree Blvd, Suite 107, Raleigh, NC 27604-2296 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030449 | Jason Levi | Psychologist | 217 Leland Dr, Winston Salem, NC 27106-4761 | 2020-10-11 |
| 1861014912 | Nicole Angela Baker | Psychologist | 25 Reed St Ste 202, Asheville, NC 28803-2770 | 2020-05-12 |
| 1871113076 | Anne Kristin Komelasky | Psychologist | 701 Oxfordshire Ln, Chapel Hill, NC 27517-6220 | 2020-04-17 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1962910711 | Daniel Wells | Psychologist | 9879 Hyde Glen Ct, Charlotte, NC 28262-2657 | 2018-01-15 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1346633179 | Wendy Haugan | Psychologist | 103 Brady Ct, Cary, NC 27511-4574 | 2015-03-18 |
| 1023448776 | Marc Giandenoto | Psychologist | 406 Big Willow Way, Rolesville, NC 27571-9329 | 2013-11-16 |
| 1952734360 | Anna Sinden Beltramo | Psychologist | 107 Holly Blossom Dr, Durham, NC 27703-9402 | 2013-08-21 |
| Find all providers with the same taxonomy | ||||
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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.