DEBOREA WILLIAMS WINFREY (NPI# 1275527459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275527459 |
| Entity Type | Individual |
| Full Name | DEBOREA WILLIAMS WINFREY |
| Credential | PHD |
| Practice Address |
122 N Spruce St Winston Salem NC 27101 |
| Practice Telephone | 3367743988 |
| Practice Fax Number | 3367743989 |
| Mailing Telephone | 3367743988 |
| Mailing Fax Number | 3367743989 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1015 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 00141648 | 01 |
| NC | BCBS OF NC | 44407 | 01 |
| NC | 6000596 | 05 | |
| NC | 6000045 | 05 |
| Street Address |
122 N SPRUCE ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902081748 | Mcarre, Inc | Community/Behavioral Health | 122 N Spruce St, Winston Salem, NC 27101-2734 | 2007-12-28 |
| 1356473813 | Deborah Thompson Oakes | Social Worker | 122 N Spruce St, Winston Salem, NC 27101-2734 | 2007-03-11 |
| 1831238419 | Mcarre, Inc | Community Based Residential Treatment Facility, Mental Illness | 122 N Spruce St, Winston Salem, NC 27101-2734 | 2007-02-06 |
| 1558333104 | Kay Freeman Clark | Social Worker | 122 N Spruce St, Winston Salem, NC 27101-2734 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| 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 |
|---|---|---|---|---|
| 1477939213 | The Epilepsy Institute of Nc | Psychologist | 1311 Westbrook Plaza Dr Ste 100, Winston Salem, NC 27103-1327 | 2015-08-04 |
| 1558779785 | Tara Laymon | Psychologist | 4264 Saddlewood Forest Dr, Winston Salem, NC 27106-3576 | 2014-07-31 |
| 1780901926 | Howard Thomas Bosworth | Psychologist | 1304 Ashley Square, Winston Salem, NC 27103 | 2010-04-28 |
| 1043549900 | Gustavo Rafael Grodnitzky | Psychologist | 736 Mitch Dr, Winston Salem, NC 27104-5126 | 2009-12-23 |
| 1548470776 | Dianne Mitchell, Ph.d., Pllc | Psychologist | 121 Reynolda Vlg, Suite G, Winston Salem, NC 27106-5126 | 2007-05-23 |
| 1801003371 | Pamela D. Corbett | Psychologist | 3560 Buena Vista Rd, Winston Salem, NC 27106-5736 | 2007-05-16 |
| 1295870194 | Embrenche LLC | Psychologist | 1001 S Marshall St Ste 262, 1001 S Marshall Street Suite 262, Winston Salem, NC 27101-5852 | 2007-02-20 |
| 1154406411 | Vicky Gaye Surratt | Psychologist | 125 Ashleybrook Square, Winston Salem, NC 27103 | 2006-10-26 |
| 1659306488 | Jeffrey Alan Smith | Psychologist | 3455 Polo Rd, Suite 106, Winston Salem, NC 27106-4828 | 2006-07-11 |
| 1609800895 | David S. Bathory | Psychologist | 2575 Woodberry Dr, Winston Salem, NC 27106-4622 | 2006-07-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.