DR. REBECCA TAGG


Address: 1179 Mccallister Rd, Jacksonville, NC 28540-8796
Phone: 9103782501

DR. REBECCA TAGG (NPI# 1871872762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871872762
Entity Type Individual
Full Name DR. REBECCA TAGG
Credential PSYD, BCBA-D
Practice Address 1179 Mccallister Rd
Jacksonville
NC 28540-8796
Mailing Address 136 Porch Swing Way
Holly Ridge
NC 28445-6000
Practice Telephone 9103782501
Practice Fax Number 9109391490
Mailing Telephone (910) 378-2501
Mailing Fax Number 9109391490
Enumeration Date 2011-08-09
Last Update Date 2017-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 103213 NC Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
NC Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 1-11-9642 NC Behavioral Health & Social Service Providers

Office Location

Street Address 1179 MCCALLISTER RD
City JACKSONVILLE
State NC
Zip Code 28540-8796

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770039323 Del Mar Support Services LLC Behavioral Analyst 1179 Mccallister Rd, Jacksonville, NC 28540-8796 2016-09-01

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NPI Name Taxonomy Address Enumeration
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1558886242 Brandon Jay Smith Military Health Care Provider E Street Bldg G770, Camp Lejeune, NC 28540 2017-08-03
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376144774 Jennifer Mcmanus Psychologist 4143 San Juan Ave, Jacksonville, FL 32210-3333 2020-11-03
1952927600 Lourdes Portales Dale Psychologist 580 W 8th St Fl Towerii6, Jacksonville, FL 32209-6533 2020-06-18
1114414992 David Herbert Gilliland Psychologist 2752 Canyon Falls Dr, Jacksonville, FL 32224-4841 2018-04-17
1588903777 Darrin John Kirkendall Psychologist 3901 University Blvd S Ste 203, Jacksonville, FL 32216-4389 2013-02-07
1851662969 Lisa-mae Sinclair Armbrust Psychologist 11111 San Jose Blvd Ste 70, #185, Jacksonville, FL 32223-7274 2012-01-20
1366724569 Asa Therapeutic Services, Pllc Psychologist 200 Valencia Dr Ste 128, Jacksonville, NC 28546-6313 2011-09-13
1164703047 Aegis Psychological Consulting LLC Psychologist 208 E. Rusk St., Jacksonville, TX 75766 2011-09-06
1942597901 Nancy Ghali Psychologist 4006 Henderson Dr., Jacksonville, NC 28546 2011-06-28
1457689911 Leslie Herbert Krieger Psychologist 3834 Reedpond Dr S, Jacksonville, FL 32223-4820 2009-11-21
1245463090 Lauren Brooke Yerkes Psychologist 1 Unf Dr, Counseling Center, Building 2, Room 2300, Jacksonville, FL 32224-7699 2009-08-27
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Competitor

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City JACKSONVILLE
Zip Code 28540

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Dataset Information

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.

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