MRS. AMY DIACHENKO FOSTER (NPI# 1144432246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144432246 |
| Entity Type | Individual |
| Full Name | MRS. AMY DIACHENKO FOSTER |
| Credential | M.A. |
| Practice Address |
624 West Main Street Yadkinville NC 27055-7809 |
| Mailing Address |
Po Box 723 Yadkinville NC 27055-0723 |
| Practice Telephone | 3367051346 |
| Practice Fax Number | 3366776585 |
| Mailing Telephone | 3368497890 |
| Mailing Fax Number | 3368497891 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | 3555 | NC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3555 | NC | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3555 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107576 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6614 Shallowford Rd Ste 200, Lewisville, NC 270239304 | 3368497890 | |
| 2554 Lewisville Clemmons Rd Ste 303, Clemmons, NC 270128749 | 3368497890 | 3368497891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205302403 | Amy Marie Foster | Physician Assistant | 1625 E Main St Ste 100, El Cajon, CA 92021-5240 | 2018-10-16 |
| 1013215979 | Amy K Foster | Marriage & Family Therapist | 7517 Beechwood Centre Rd Ste 300, Avon, IN 46123-7879 | 2011-03-02 |
| 1457552606 | Amy Polly Foster | Specialist | 131 Prater Dr, Georgetown, KY 40324-8663 | 2007-05-29 |
| 1346260510 | Amy Beth Foster | Specialist/Technologist | 8900 Park Rd, Charlotte, NC 28210-7609 | 2006-07-20 |
| 1710500681 | Amy L Foster | Nurse Practitioner | 4401 W 109th St Ste 200, Overland Park, KS 66211-1303 | 2020-05-26 |
| 1750888020 | Amy Lee Foster | Nurse Practitioner | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2018-04-12 |
| 1134595713 | Amy Foster | Counselor | 2 Wall St Ste 400, Manchester, NH 03101-1518 | 2015-08-18 |
| 1821473497 | Amy Foster | Case Manager/Care Coordinator | 8747 Squires Ln Ne, Warren, OH 44484-1649 | 2015-07-24 |
| 1134545239 | Amy Lanelle Foster | Registered Nurse | 1401 Johnston Willis Dr Ste 100, North Chesterfield, VA 23235-4730 | 2014-03-13 |
| 1528241494 | Amy Marie Foster | Optometrist | 2800 N Germantown Pkwy, Memphis, TN 38133-8149 | 2007-12-13 |
| Street Address |
624 WEST MAIN STREET |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487957783 | Amy D. Foster | Social Worker | 624 West Main Street, Yadkinville, NC 27055 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| 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 |
|---|---|---|---|---|
| 1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
| 1720698939 | Blue Ridge Behavior Systems Inc | Psychologist | 16147 Lancaster Hwy Ste 110, Charlotte, NC 28277-4196 | 2020-08-03 |
| 1538778584 | Stephanie Goodson | Psychologist | 1638 Lookout Cir, Waxhaw, NC 28173-8085 | 2020-07-27 |
| 1205453388 | Gregory A Welikson, Phd, Pllc | Psychologist | 1334 Daventry Ct, Chapel Hill, NC 27517-9412 | 2020-07-06 |
| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1932746294 | Lindsay Pulver | Psychologist | 3501 Sherbourne Ln, Greensboro, NC 27405-4964 | 2019-12-05 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.