COASTAL NEUROPSYCHOLOGICAL SERVICES INC (NPI# 1679729503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679729503 |
| Entity Type | Organization |
| Organization Name | COASTAL NEUROPSYCHOLOGICAL SERVICES INC |
| Practice Address |
7655 Market St Wilmington NC 28411-9458 |
| Practice Telephone | 9106813880 |
| Practice Fax Number | 9106813885 |
| Mailing Telephone | 9106813880 |
| Mailing Fax Number | 9106813885 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | CHRISTY L JONES (PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 9106813880 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
7655 MARKET ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28411-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841279726 | Christy Lynn Jones | Specialist | 7655 Market St, Wilmington, NC 28411-9458 | 2006-01-10 |
| 1851498208 | Atlantic Urology PC | Urology | 7655 Market St, Suite A, Wilmington, NC 28411-9458 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744941 | Mercedes Wilkins Mclaughlin | Social Worker | 7008 Cape Harbor Dr Apt A, Wilmington, NC 28411 | 2018-06-18 |
| 1619480811 | Physical Therapy Services of Wilmington At Porter's Neck, LLC | Physical Therapist | 167 Porters Neck Road, Suite D, Suite D, Wilmington, NC 28411 | 2017-11-09 |
| 1578954970 | Erin Fitzpatrick Vasquez | Physical Therapist | 441 Biscayne Dr., Wilmington, NC 28411 | 2015-02-07 |
| 1679961932 | Sheena Cannady | Occupational Therapy Assistant | 7205 Savanna Run Loop, Wilmington, NC 28411 | 2015-01-08 |
| 1548510753 | Lindsey Tarrant Pediatric Speech Pathology Services | Speech-Language Pathologist | 7842 Olde Pond Rd, Wilmington, NC 28411 | 2012-09-14 |
| 1912224601 | Michele Ann Hardee | Physical Therapy Assistant | 1011 Porters Neck Road, Wilmington, NC 28411 | 2010-04-21 |
| 1629216577 | Plantation Village | In Home Supportive Care | 1200 Porters Neck Rd, Wilmington, NC 28411 | 2009-01-30 |
| 1467606095 | Dana B. Shumate Dds, Pa | Dentist | 8131 Market St, Wilmington, NC 28411 | 2008-11-10 |
| 1427212745 | Malgorzata Maria Betkowski | Counselor | 8044 Market Street, Suite D, Wilmington, NC 28411 | 2008-07-16 |
| 1366625014 | The Lawson's House | Day Training, Developmentally Disabled Services | 6622 F Gordan Rd, Wilmington, NC 28411 | 2007-12-17 |
| Find all providers in zip 28411 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699002089 | Cynthia R Fitzsimmons | Clinical Neuropsychologist | 313 Walnut St Ste 107, Wilmington, NC 28401-4063 | 2009-11-05 |
| 1184717605 | Richard A. Berg, PC | Clinical Neuropsychologist | 5010 Randall Parkway, Wilmington, NC 28403 | 2006-10-02 |
| 1508968843 | Antonio E Puente | Clinical Neuropsychologist | 1508 Military Cutoff Road, Ste 303, Wilmington, NC 28403 | 2006-09-05 |
| 1861439895 | Richard G. Ivins | Clinical Neuropsychologist | 1601 Concord Pike, Suite 92-100, Wilmington, DE 19803-3612 | 2006-05-31 |
| 1033161658 | Barbara Briggs | Clinical Neuropsychologist | 1073 Creekside Dr, Wilmington, DE 19804-3930 | 2006-05-16 |
| 1144218744 | Frederick Kurz | Clinical Neuropsychologist | 1601 Delaware Ave, Suite 32 B, Wilmington, DE 19806-3303 | 2005-10-10 |
| 1831689520 | Danielle Bosenbark | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-05-17 |
| 1194265793 | Laura Freeman | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-03-01 |
| 1245606920 | Gregory Adam Witkin | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2015-08-17 |
| 1063890192 | Maya Zayat | Clinical Neuropsychologist | 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 | 2015-05-08 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28411 |
Please comment or provide details below to improve the information on COASTAL NEUROPSYCHOLOGICAL SERVICES INC.
| 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.