CAROLINA NEUROBEHAVIORAL SERVICE (NPI# 1053666834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053666834 |
| Entity Type | Organization |
| Organization Name | CAROLINA NEUROBEHAVIORAL SERVICE |
| Practice Address |
7810 Ballantyne Commons Pkwy Suite 309 Charlotte NC 28277-3415 |
| Mailing Address |
7810 Ballantyne Commons Pkwy Suite 300 Charlotte NC 28277-3415 |
| Practice Telephone | 7043195538 |
| Practice Fax Number | 8887039409 |
| Mailing Telephone | 7043195538 |
| Mailing Fax Number | 8887039409 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2013-01-02 |
| Authorized Official Name | DR. LISA ANNE SWOROWSKI (OWNER/NEURPSYCHOLOGIST) |
| Authorized Official Telephone | 7043195538 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4230 | NC | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 4230 | NC | Behavioral Health & Social Service Providers |
| Street Address |
7810 BALLANTYNE COMMONS PKWY SUITE 309 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437149 | Elizabeth Marie Bennett-hill | Counselor | 7810 Ballantyne Commons Pkwy, Ste 300, Charlotte, NC 28277-3416 | 2005-06-16 |
| 1376050732 | Charlotte Chiropractic and Rehab | Chiropractor | 7810 Ballantyne Commons Pkwy, 101, Charlotte, NC 28277 | 2018-01-08 |
| 1518314434 | Careolina Psychology Pllc | Psychologist | 7810 Ballantyne Commons Pkwy, Suite 307, Charlotte, NC 28277-3415 | 2016-05-20 |
| 1215399795 | Wellness Counseling Center PC | Marriage & Family Therapist | 7810 Ballantyne Commons Pkwy, Suite 300, Charlotte, NC 28277-3415 | 2016-03-24 |
| 1043675259 | Sallie Geer Roberts | Dietitian, Registered | 7810 Ballantyne Commons Pkwy, Suite 200, Charlotte, NC 28277-3415 | 2015-12-15 |
| 1760897193 | Jennifer Smith | Dietitian, Registered | 7810 Ballantyne Commons Pkwy, Suite 200, Charlotte, NC 28277-3415 | 2014-06-24 |
| 1306274477 | Jennie Hopper | Counselor | 7810 Ballantyne Commons Pkwy, Suite 300, Charlotte, NC 28277-3415 | 2013-10-28 |
| 1104092501 | Stephen Robert Hillis | Psychologist | 7810 Ballantyne Commons Pkwy, Suite 300, Charlotte, NC 28277-3415 | 2008-05-06 |
| 1184899411 | Jennifer Smith Segura | Psychiatry & Neurology | 7810 Ballantyne Commons Pkwy, Ste 201, Charlotte, NC 28277-3415 | 2008-04-28 |
| 1982806238 | William G. Ritchie D.d.s. | Clinic/Center | 7810 Ballantyne Commons Pkwy, Suite 105, Charlotte, NC 28277-3415 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| 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 |
| 1699028431 | Keith Ganci | Clinical Neuropsychologist | 501 S Sharon Amity Rd, Ste 500, Charlotte, NC 28211-2896 | 2012-10-17 |
| 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 |
| 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.