MR. WALTER JACKSON SELLERS (NPI# 1023124229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023124229 |
| Entity Type | Individual |
| Full Name | MR. WALTER JACKSON SELLERS |
| Credential | MA |
| Practice Address |
804 S Garnett St Henderson NC 27536 |
| Mailing Address |
10 Sedgewood Rd Chapel Hill NC 27514 |
| Practice Telephone | 2524307442 |
| Mailing Telephone | 9199428445 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 401 | NC | Behavioral Health & Social Service Providers |
| Street Address |
804 S GARNETT ST |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891437 | Mary Edith Watkins | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2006-05-24 |
| 1962050070 | Penelope Julian Dixon | Social Worker | 804 S Garnett St, Henderson, NC 27536-4571 | 2019-09-01 |
| 1063923183 | Ericka Jasmine Thomas | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2017-10-16 |
| 1568835551 | Norrson Healthcare | Case Management | 804 S Garnett St, Suite G, Henderson, NC 27536-4571 | 2015-11-12 |
| 1821460437 | Women, Children & Family Counseling Services Pllc | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2015-10-22 |
| 1417208786 | Hope Mccoy | Counselor | 804 S Garnett St, Ste. K, Henderson, NC 27536-4571 | 2012-09-27 |
| 1821249541 | Leon Jackson Pernell Sr. | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2008-10-01 |
| 1043401490 | Positive Outlook Services, LLC | Community/Behavioral Health | 804 S Garnett St, 120 E Belle Street, Henderson, NC 27536-4571 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| 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 |
|---|---|---|---|---|
| 1720605793 | Leah Jacobs | Psychologist | 1769 Quiver Point Ave, Henderson, NV 89012-3482 | 2020-06-25 |
| 1083191118 | Mary Sara Fridman II | Psychologist | 2416 Alpine Meadows Ave, Henderson, NV 89074-6263 | 2018-07-21 |
| 1104345255 | Claudia Maritza Mejia | Psychologist | 1070 W Horizon Ridge Pkwy Ste 210, Henderson, NV 89012-6020 | 2017-09-10 |
| 1679023196 | Rory Reid | Psychologist | 2218 Summerwind Cir, Henderson, NV 89052-2321 | 2016-10-07 |
| 1528422722 | Abner Bosheth | Psychologist | 825 Sleepy Moon Ave, Henderson, NV 89012-2625 | 2016-04-13 |
| 1548515125 | Patrick Michael Finn | Psychologist | 682 Integrity Point Ave, Henderson, NV 89012-5318 | 2012-07-19 |
| 1376817577 | Cynthia Sue Dodge | Psychologist | 2579 Thatcher Ave, Henderson, NV 89052-6916 | 2012-03-06 |
| 1174754121 | Mary Beth Downing | Psychologist | 701 N Green Valley Pkwy Ste 200, Henderson, NV 89074-6178 | 2009-08-06 |
| 1619150653 | Joseph Franklin Moore | Psychologist | 208 N. Garnett St, Suite I, Henderson, NC 27536 | 2007-12-13 |
| 1477741767 | G Brent Dennis Inc | Psychologist | 2775 Sacred Ct, Henderson, NV 89052-4502 | 2007-10-11 |
| Find all providers in HENDERSON | ||||
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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.