DR. JACK BASDEN MCKINNEY


Address: 3412 Hillsborough St, Raleigh, NC 27607-5407
Phone: 9198031369

DR. JACK BASDEN MCKINNEY (NPI# 1083048516) 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) 1083048516
Entity Type Individual
Full Name DR. JACK BASDEN MCKINNEY
Credential PHD
Practice Address 3412 Hillsborough St
Raleigh
NC 27607-5407
Practice Telephone 9198031369
Mailing Telephone 9198031369
Enumeration Date 2013-09-03
Last Update Date 2013-09-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
92 NC Behavioral Health & Social Service Providers

Office Location

Street Address 3412 HILLSBOROUGH ST
City RALEIGH
State NC
Zip Code 27607-5407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528012663 Elizabeth Gourley Read Chiropractor 3412 Hillsborough St, Raleigh, NC 27607-5407 2006-05-22

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NPI Name Taxonomy Address Enumeration
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1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801441316 Brenda G Jones Counselor 4926 Windy Hill Dr Ste A, Raleigh, NC 27609-5182 2019-08-02
1093299497 Kenneth E Jarmon Sr. Counselor 3805 Tarheel Club Rd, Raleigh, NC 27604-9665 2018-09-20
1184065575 William Howard Searcy Counselor 700 Brooks Ave, Raleigh, NC 27607-4132 2013-07-12
1104037720 William Mark Holland Counselor 3405 Dell Dr, Raleigh, NC 27609-7119 2007-05-25
1942759238 Beverly Rose Wallace Counselor 3719 Benson Dr, Raleigh, NC 27609-7324 2016-09-27
1629452016 Terry Michael Newell Jr. Counselor 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 2015-07-15
1205080793 Jennifer Clarke Brown Counselor 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 2008-11-10
1609063171 David Carl Verner Counselor 312 W Millbrook Rd, Ste. 109, Raleigh, NC 27609-4389 2007-09-28
1760676944 Suzanne Ware Luper Counselor 312 W Millbrook Rd, #109, Raleigh, NC 27609-4389 2007-08-30
1336331560 Robert Lawson Cooke Counselor 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 2007-08-12
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Competitor

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City RALEIGH
Zip Code 27607

Improve Information

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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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