KERRY L HOGAN (NPI# 1679628648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679628648 |
| Entity Type | Individual |
| Full Name | KERRY L HOGAN |
| Credential | PH.D. |
| Practice Address |
3973b Market St Wilmington NC 28403-1403 |
| Practice Telephone | 9107630699 |
| Practice Fax Number | 9107630489 |
| Mailing Telephone | 9107630699 |
| Mailing Fax Number | 9107630489 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2968 | NC | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2968 | NC | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2968 | NC | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2968 | NC | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
2968 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000934 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142583 | Kerry Shane Hogan | Pharmacist | 1131 N Quincy Ave, Ottumwa, IA 52501-3857 | 2005-11-23 |
| Street Address |
3973B MARKET ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347140 | Thomas Whiteford Boeker | Psychiatry & Neurology | 3973b Market St, Bldg. D, Wilmington, NC 28403-1403 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801289327 | Karla E Bailey | Psychologist | 5155 W Woodmill Dr, Suite 17, Wilmington, DE 19808-4067 | 2015-03-09 |
| 1023352044 | Darren Lee Whaley | Psychologist | 1521 Concord Pike Ste 103, Wilmington, DE 19803-3614 | 2012-11-15 |
| 1962888412 | Ieso Digital Health | Psychologist | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2015-08-07 |
| 1043544547 | Nina Lea Hayhurst-chacon | Psychologist | 1920 Tradd Ct, Wilmington, NC 28401-6637 | 2009-09-30 |
| 1922217462 | Harvey G Doppelt | Psychologist | 18c Trolley Sq, Wilmington, DE 19806-3355 | 2007-05-22 |
| 1619089877 | Marsha S Orlov | Psychologist | 2601 Annand Dr, Suite7, Wilmington, DE 19808-3719 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497268387 | Shabazz Jama Chelley | Psychologist | 7 Elsworth Ct, Mc Leansville, NC 27301-9308 | 2017-11-14 |
| 1982156386 | Jacqueline Hersh | Psychologist | 522 White Oak Rd, Boone, NC 28607-7660 | 2016-11-01 |
| 1568800845 | Janice Patrice Dodge | Psychologist | 245 E Main Ave, Gastonia, NC 28052-4142 | 2013-06-10 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1245502798 | Restorative Support Services,inc | Psychologist | 2818 Queen City Dr Ste E, 2818- E Queen City Drive, Charlotte, NC 28208-2736 | 2012-01-30 |
| 1598064917 | Megan Jamine Henrichsen | Psychologist | 269 Westlake Rd, Ste. 201, Fayetteville, NC 28314-4867 | 2011-03-24 |
| 1346552056 | Aspire Supportive & Counseling Services LLC | Psychologist | 130 E Morgan St, Raleigh, NC 27601-1410 | 2010-07-10 |
| 1598092538 | Stepping Stones Alternative Services | Psychologist | 4140 Ramsey St Ste 108, Fayetteville, NC 28311-7658 | 2009-11-12 |
| 1225271596 | Monica M. Glover | Psychologist | 5 Afton Pl, Durham, NC 27703-3797 | 2009-04-15 |
| 1164665873 | Murray Harold Merner | Psychologist | 626 Medical Dr, Greenville, NC 27834-7503 | 2009-04-10 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on KERRY L HOGAN.
| 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.