COLONY BEHAVIORAL HEALTH GROUP PLLC (NPI# 1306197629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306197629 |
| Entity Type | Organization |
| Organization Name | COLONY BEHAVIORAL HEALTH GROUP PLLC |
| Practice Address |
2807 Neuse Blvd Ste 3 New Bern NC 28562-2815 |
| Practice Telephone | 2526360112 |
| Practice Fax Number | 2526349778 |
| Mailing Telephone | 2526360112 |
| Mailing Fax Number | 2526349778 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | BETHANNE T JACOBSON (OWNER) |
| Authorized Official Telephone | 2526360112 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2807 NEUSE BLVD STE 3 |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396724936 | Bethanne Thumm Jacobson | Psychologist | 2807 Neuse Blvd, Ste 5, New Bern, NC 28562-2815 | 2006-01-12 |
| 1336332881 | Stevens Healthcare Agency, Inc | Case Management | 2807 Neuse Blvd, Unit 8, New Bern, NC 28562-2815 | 2007-08-18 |
| 1669677621 | Susan Ryan | Psychologist | 2807 Neuse Blvd, Ste 5, New Bern, NC 28562-2815 | 2007-06-19 |
| 1326168980 | Harborside Care | Psychiatry & Neurology | 2807 Neuse Blvd, New Bern, NC 28562-2815 | 2007-03-29 |
| 1487773305 | Kasey A Melvin | Psychologist | 2807 Neuse Blvd, Ste 5, New Bern, NC 28562-2815 | 2007-03-29 |
| 1184755001 | Our House Home Care Service, Inc. | Home Health | 2807 Neuse Blvd, Suite 6, New Bern, NC 28562-2815 | 2007-03-09 |
| 1992836811 | Our House Home Care Service, Inc. | Home Health | 2807 Neuse Blvd, Suite 6, New Bern, NC 28562-2815 | 2007-03-09 |
| 1760530240 | Our House Home Care Service, Inc. | Nursing Care | 2807 Neuse Blvd, Suite 6, New Bern, NC 28562-2815 | 2007-01-08 |
| 1386729150 | Elinor B Bull | Clinical Nurse Specialist | 2807 Neuse Blvd, Suite 10, New Bern, NC 28562 | 2006-10-27 |
| 1154354462 | Henry D. Beckwith | Psychologist | 2807 Neuse Blvd, Ste 5, New Bern, NC 28562-2815 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972733814 | Abby Meakin Saunders | Psychologist | 1203 Coral Reef Ct, New Bern, NC 28560-7189 | 2009-07-24 |
| 1437322401 | Lori Vasquez Van Meir | Psychologist | 707 Professional Dr, New Bern, NC 28560-4547 | 2008-04-10 |
| 1871784538 | Maria Bernadette Munford | Psychologist | 1235 Colony Dr, New Bern, NC 28562-4156 | 2007-08-07 |
| 1093884819 | Child & Family Psychological Consultants, P.a. | Psychologist | 1425 S Glenburnie Rd Ste 1, New Bern, NC 28562-2610 | 2006-11-07 |
| 1255397626 | Carroll H Greene IIi | Psychologist | 6017 Cassowary Ln, New Bern, NC 28560-7170 | 2006-04-25 |
| 1619228160 | Jessica Therese Dunham | Psychologist | 1304b Commerce Dr, New Bern, NC 28562-2212 | 2012-09-24 |
| 1508152711 | Carolina Behavioral Health Innovations, Pllc | Psychologist | 2129 S Glenburnie Rd, New Bern, NC 28562-5267 | 2011-06-26 |
| 1861692063 | Michelle Wensing Graziosi | Psychologist | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-07-25 |
| 1104954536 | Malinda L Breda | Psychologist | 2000 Neuse Blvd, New Bern, NC 28561 | 2007-02-28 |
| 1154354462 | Henry D. Beckwith | Psychologist | 2807 Neuse Blvd, Ste 5, New Bern, NC 28562-2815 | 2006-07-09 |
| Find all providers in NEW BERN | ||||
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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.