KEITH GANCI (NPI# 1699028431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699028431 |
| Entity Type | Individual |
| Full Name | KEITH GANCI |
| Credential | PHD |
| Practice Address |
501 S Sharon Amity Rd Ste 500 Charlotte NC 28211-2896 |
| Mailing Address |
2301 Brandon Cir Charlotte NC 28211-1656 |
| Practice Telephone | 7043621555 |
| Mailing Telephone | 6313341852 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 4800 | NC | Behavioral Health & Social Service Providers |
| Street Address |
501 S SHARON AMITY RD STE 500 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164461471 | Robert P Collins | Psychologist | 501 S Sharon Amity Rd, Suite 500, Charlotte, NC 28211-2896 | 2006-06-05 |
| 1508212325 | Corey Henderson | Counselor | 501 S Sharon Amity Rd, Suite 500, Charlotte, NC 28211-2896 | 2016-05-11 |
| 1154626869 | Jennifer Leigh Bowman | Physician Assistant | 501 S Sharon Amity Rd, Ste 300, Charlotte, NC 28211-0035 | 2011-01-12 |
| 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 | 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 |
|---|---|---|---|---|
| 1467051458 | The Family Advocates | Clinical Neuropsychologist | 1201 Jade Glen Dr, Charlotte, NC 28262-1621 | 2020-10-20 |
| 1861818874 | Dr. Angela Houser-betti, Psyd, Pllc | Clinical Neuropsychologist | 4425 Randolph Rd Ste 208, Charlotte, NC 28211-2324 | 2014-03-14 |
| 1790117679 | Kimberly Leon | Clinical Neuropsychologist | 1001 Blythe Blvd Ste 200d, Charlotte, NC 28203-6215 | 2013-08-02 |
| 1730188020 | Peter Jeffrey Ewert | Clinical Neuropsychologist | 6853 Fairview Rd, Ste B, Charlotte, NC 28210-3363 | 2005-07-19 |
| 1174957609 | Shelley Leigh Leininger | Clinical Neuropsychologist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2013-09-03 |
| 1780961177 | Graham Alexander Hunter | Clinical Neuropsychologist | 447 S Sharon Amity Rd, Suite 140, Charlotte, NC 28211-2836 | 2011-11-14 |
| 1588941231 | Amy Duckwall | Clinical Neuropsychologist | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2011-11-09 |
| 1407134265 | Gretchen Hunter | Clinical Neuropsychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2011-07-28 |
| 1164721015 | Ana Carine Messler | Clinical Neuropsychologist | 447 S Sharon Amity Rd, Ste 130, Charlotte, NC 28211-2836 | 2011-03-17 |
| 1811204217 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 6911 Shannon Willow Rd, Suite 100, Charlotte, NC 28226-1346 | 2010-09-07 |
| 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.