HAROLD WALKER ELLIOTT SR. (NPI# 1750366233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750366233 |
Entity Type | Individual |
Full Name | HAROLD WALKER ELLIOTT SR. |
Credential | MD |
Practice Address |
711 Executive Pl Fl 4 Fayetteville NC 28305-5193 |
Mailing Address |
1533 Lake Glen Dr Fuquay Varina NC 27526-6946 |
Practice Telephone | 9106153333 |
Practice Fax Number | 9106159765 |
Mailing Telephone | 3367125936 |
Enumeration Date | 2005-12-07 |
Last Update Date | 2018-11-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47993 | TN | Allopathic & Osteopathic Physicians |
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35634 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 7114010 | 05 | |
BCBS | 1010M | 01 | |
WV | 1810965000 | 05 | |
NC | 891010M | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
Bldg. 52 Lake Dr, Mountain Home, TN 37684 | 6234398000 | 4234392200 |
Community Mental Health-3rd Fl, 711 Executive Place 3rd Floor, Fayetteville, NC 283055193 | 9106153700 | 9106153798 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033306329 | Harold Nelson Elliott | Counselor | 111 Church St, Laconia, NH 03246-3432 | 2007-10-01 |
Street Address |
711 EXECUTIVE PL FL 4 |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28305-5193 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396301537 | Jessica L. Gilbert | Counselor | 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 | 2019-05-14 |
1790234177 | Elizabeth Ann Monge | Counselor | 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 | 2016-09-27 |
1760741961 | Ngu Wah Aung | Psychiatry & Neurology | 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 | 2012-05-08 |
1578586541 | Barbara V. Wise | Psychiatry & Neurology | 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 | 2006-07-25 |
1457371064 | Cheryl J Fiser | Social Worker | 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 | 2006-07-20 |
1487699146 | Marla R. Hemphill | Psychiatry & Neurology | 711 Executive Pl Fl 4, Fayetteville, NC 28305-5193 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
Find all providers in zip 28305 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609316694 | Suzanne Nicholas LLC | Psychiatry & Neurology | 2224 Riverfront Ln, Fayetteville, AR 72703-9527 | 2017-02-24 |
1417310491 | Murray Fork Clinic, PC | Psychiatry & Neurology | 6020 Morganton Road, Fayetteville, NC 28314-1352 | 2016-03-29 |
1003225491 | Johari Family Services, LLC | Psychiatry & Neurology | 701 Whitfield St, Fayetteville, NC 28306-1617 | 2014-08-11 |
1609154509 | Saguaro Group LLC | Psychiatry & Neurology | 2800 Breezewood Drive, Ste 100, Fayetteville, NC 28303-5282 | 2011-07-26 |
1699065110 | Jacquelyn Rae Lange-halley | Psychiatry & Neurology | 2580 E Joyce Blvd Ste 1, Fayetteville, AR 72703-3924 | 2011-04-18 |
1124343918 | Dorothee S Mecum | Psychiatry & Neurology | 28 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2010-04-05 |
1922269018 | Kevin M Lamm | Psychiatry & Neurology | 1724 Roxie Avenue, Fayetteville, NC 28304 | 2008-06-20 |
1780871152 | Atul Kantesaria Md Pllc | Psychiatry & Neurology | 105 Hunter Cir, Fayetteville, NC 28304-3407 | 2007-10-01 |
1942496005 | James Robert Parks | Psychiatry & Neurology | 102 E Sunbridge Dr, Suite 1, Fayetteville, AR 72703-2830 | 2007-09-21 |
1144353699 | Trevor Nagib Iskander | Psychiatry & Neurology | 280 Salt Springs St, Fayetteville, NY 13066-2258 | 2007-03-13 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28305 |
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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.