PETALS CATRECE RAINEY-BOONE (NPI# 1134314628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134314628 |
| Entity Type | Individual |
| Full Name | PETALS CATRECE RAINEY-BOONE |
| Credential | MS, ED.S |
| Practice Address |
1317 Ujamaa Dr Raleigh NC 27610-5773 |
| Practice Telephone | 9197553396 |
| Mailing Telephone | 9197553396 |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2008-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
2318 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107568 | 05 |
| Street Address |
1317 UJAMAA DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-5773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134637390 | Laura Courtney Kirby | Psychologist | 4090 Barrett Dr, Raleigh, NC 27609-6604 | 2018-01-22 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1881007078 | Mary Whitehouse | Psychologist | 301 Saint Marys St, Raleigh, NC 27605-1731 | 2014-06-05 |
| 1710317649 | Erica Nivens | Psychologist | 600 Emerywood Dr, Raleigh, NC 27615-1529 | 2013-11-13 |
| 1962704007 | Caryn Sabourin Ward | Psychologist | 7620 Derek Dr, Raleigh, NC 27613-5802 | 2010-11-22 |
| 1407028152 | Barbara Carol Vatz | Psychologist | 2801 Manning Pl, Raleigh, NC 27608-1137 | 2008-04-01 |
| 1255448346 | Patricia Walton Collins | Psychologist | 2310 Stinson Dr, Ncsu Department of Psychology Poe Hall Rm 640, Raleigh, NC 27695-7650 | 2006-08-24 |
| 1124253299 | Henri Arthur Belfon Jr. | Psychologist | 2413 Crabtree Blvd, Suite 107, Raleigh, NC 27604-2296 | 2009-05-19 |
| 1669698445 | Susan Michelle Whichard | Psychologist | 2310 Stinson Dr, Rm 612, Psychoeducational Clinic-ncsu, Raleigh, NC 27695-0001 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030449 | Jason Levi | Psychologist | 217 Leland Dr, Winston Salem, NC 27106-4761 | 2020-10-11 |
| 1861014912 | Nicole Angela Baker | Psychologist | 25 Reed St Ste 202, Asheville, NC 28803-2770 | 2020-05-12 |
| 1871113076 | Anne Kristin Komelasky | Psychologist | 701 Oxfordshire Ln, Chapel Hill, NC 27517-6220 | 2020-04-17 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1962910711 | Daniel Wells | Psychologist | 9879 Hyde Glen Ct, Charlotte, NC 28262-2657 | 2018-01-15 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1346633179 | Wendy Haugan | Psychologist | 103 Brady Ct, Cary, NC 27511-4574 | 2015-03-18 |
| 1023448776 | Marc Giandenoto | Psychologist | 406 Big Willow Way, Rolesville, NC 27571-9329 | 2013-11-16 |
| 1952734360 | Anna Sinden Beltramo | Psychologist | 107 Holly Blossom Dr, Durham, NC 27703-9402 | 2013-08-21 |
| Find all providers with the same taxonomy | ||||
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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.