MR. RYAN CHARLES BLEJEWSKI (NPI# 1255811592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255811592 |
| Entity Type | Individual |
| Full Name | MR. RYAN CHARLES BLEJEWSKI |
| Credential | BCBA |
| Practice Address |
720 Saint James Dr Wilmington NC 28403-2937 |
| Practice Telephone | 9196608200 |
| Practice Fax Number | 9106608199 |
| Mailing Telephone | 9107693571 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5437 | NC | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-18-29731 | Behavioral Health & Social Service Providers |
| Street Address |
720 SAINT JAMES DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063712099 | Tara Michelle Eichert | Dietitian, Registered | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2010-10-25 |
| 1205437084 | Jaya Rose Perentis | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1578164372 | Eleanor Winston | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1013518810 | Caroline Faith Pittman | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1477154425 | Miranda Sue Durcholz | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-05 |
| 1548878127 | Michael John Mathews | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-07-20 |
| 1548885817 | Tiffany R Kronenwetter | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-06-12 |
| 1174174270 | Alexandria Rae Brown | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-09-20 |
| 1518429026 | Connor Marie Sheehan | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-04-03 |
| 1013497379 | Ashleigh Lynn Leuck | Psychologist | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| 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 |
|---|---|---|---|---|
| 1679193114 | Inroad Behavioral and Social Health | Psychologist | 3304 Old Capitol Trl Ste 201, Wilmington, DE 19808-6210 | 2020-04-24 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1346733631 | Renee Davis | Psychologist | 920 Morningdale Dr, Wilmington, DE 19810-1458 | 2018-06-11 |
| 1982103206 | Elizabeth De La Pena | Psychologist | 1333 Island Ave, Wilmington, CA 90744-2501 | 2018-02-02 |
| 1841728532 | Rogelio Mercado | Psychologist | 1801 Rockland Rd Ste 201, Wilmington, DE 19803-3648 | 2017-05-25 |
| 1497289375 | Aitza Galarza-hernandez | Psychologist | 7517 Quail Woods Rd, Wilmington, NC 28411-7273 | 2017-04-17 |
| 1407206816 | Leeann Trudel | Psychologist | 114 Rockland Cir, Wilmington, DE 19803-4542 | 2016-06-16 |
| 1972964427 | Ostin M Warren | Psychologist | 3411 N Rockfield Dr, Wilmington, DE 19810-3237 | 2016-03-11 |
| 1164882353 | Erika Blinn Geisler | Psychologist | 330 Military Cutoff Rd, Suite A-4, Wilmington, NC 28405-8356 | 2016-03-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.