PSYCHOTHERAPEUTIC SERVICES (NPI# 1174666929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174666929 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC SERVICES |
| Practice Address |
2260 S. Church St Suite 303 Burlington NC 27215 |
| Mailing Address |
2260 S Church St Suite 303 Burlington NC 27215 |
| Practice Telephone | 3365386990 |
| Practice Fax Number | 3365386691 |
| Mailing Telephone | 4107789114 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | MARCIA LYNN CLENDANIEL (BILLING MANAGER) |
| Authorized Official Telephone | 4108102465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MULTISYSTEMIC THERAPY | 8300588I | 01 |
| NC | 8300588 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639536139 | Psychotherapeutic Services | Case Management | 400 W Main St Ste 501, Durham, NC 27701-3295 | 2016-01-28 |
| 1588051262 | Psychotherapeutic Services | Case Management | 3 Centerview Dr, Suite 150, Greensboro, NC 27407-3725 | 2015-04-21 |
| 1306085683 | Psychotherapeutic Services | Psychologist | 2260 S Church St, Suite 303, Burlington, NC 27215 | 2009-02-11 |
| 1790979896 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-08-31 |
| 1619161718 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-08-31 |
| 1679616460 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1588707475 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-02-14 |
| 1366585135 | Psychotherapeutic Services | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1174666960 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1720121528 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-02-14 |
| Street Address |
2260 S. CHURCH ST SUITE 303 |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649341488 | Psychotherapeutic Services, Inc | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2006-11-13 |
| 1790979896 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-08-31 |
| 1679616460 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1366585135 | Psychotherapeutic Services | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1174666960 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1790828598 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1528101300 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1538209523 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-07 |
| 1013057009 | Psychotherapeutic Services | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-07 |
| 1023179579 | Psychotherapeutic Services | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1518351519 | Megan Carroll Gething | Psychiatry & Neurology | 111 Colchester Ave, Patrick 426, Uvm Medical Center, Dept. of Psychiatry, Burlington, VT 05401-1473 | 2015-03-27 |
| 1396152203 | Hiren Umrania | Psychiatry & Neurology | 1236 Huffman Mill Rd # 1500, Burlington, NC 27215-8700 | 2014-07-14 |
| 1831433200 | Lewis Willmuth | Psychiatry & Neurology | 125 Cliff St, Burlington, VT 05401-3905 | 2012-11-24 |
| 1730407131 | Armc Physicians Care, Inc. | Psychiatry & Neurology | 1236 Huffman Mill Rd Ste 1500, Burlington, NC 27215-8700 | 2010-05-10 |
| 1982848313 | Carla G Duszlak | Psychiatry & Neurology | 1211 May Ct, Burlington, NC 27215-3618 | 2009-04-29 |
| 1811030612 | Psychotherpeutic Services, Inc | Psychiatry & Neurology | 405 Rudd St, Burlington, NC 27217-2957 | 2007-02-14 |
| 1982745162 | David Clark Ward | Psychiatry & Neurology | 319 N Graham Hopedale Rd Fl A, Burlington, NC 27217-2992 | 2007-02-09 |
| 1033258033 | William Youngson Chen | Psychiatry & Neurology | 3132 Commerce Place, Suite A - 2, Burlington, NC 27215 | 2007-02-06 |
| 1609913771 | Richard Lewis Rubin | Psychiatry & Neurology | 789 Pine Street, Burlington, VT 05401 | 2007-01-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on PSYCHOTHERAPEUTIC SERVICES.
| 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.