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).
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 |
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 |
Street Address |
1179 MCCALLISTER RD |
City | JACKSONVILLE |
State | NC |
Zip Code | 28540-8796 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770039323 | Del Mar Support Services LLC | Behavioral Analyst | 1179 Mccallister Rd, Jacksonville, NC 28540-8796 | 2016-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
Find all providers in zip 28540 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
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] |
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 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 28540 |
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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.