AMANDA CARSON-WONG (NPI# 1336649904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336649904 |
| Entity Type | Individual |
| Full Name | AMANDA CARSON-WONG |
| Credential | PH.D. |
| Practice Address |
5015 Southpark Dr Ste 120 Durham NC 27713-7736 |
| Mailing Address |
109 Fallenwood Ave Durham NC 27713-7111 |
| Practice Telephone | 9193231260 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5318 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5015 SOUTHPARK DR STE 120 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-7736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376691584 | David M. Lambert, Dds, Pa | Dentist | 5015 Southpark Dr Ste 120, Durham, NC 27713-7736 | 2007-01-07 |
| 1205984341 | David M Lambert | Dentist | 5015 Southpark Dr Ste 120, Durham, NC 27713-7736 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
| 1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
| 1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
| 1902436496 | Caitlin Marie Fang | Psychologist | 1200 Broad St Ste 103, Durham, NC 27705-3576 | 2020-01-23 |
| 1194376095 | Craig Daniel Libman | Psychologist | 508 Fulton St Dept 116b, Durham, NC 27705-3875 | 2019-09-23 |
| 1790346617 | Timothy Joseph Strauman | Psychologist | 708 Ivy Meadow Ln, Durham, NC 27707-6183 | 2019-06-21 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1881150795 | Courtney Dutton Cox | Psychologist | 508 Fulton St # 116c, Durham, NC 27705-3875 | 2019-02-15 |
| 1295290104 | Sarah E. Frost | Psychologist | 18 W Colony Pl Ste 280, Durham, NC 27705-5582 | 2019-02-05 |
| 1134639362 | Mark Edward Wolever | Psychologist | 1502 Nc Hwy 54 Wesst, Suite 406, Durham, NC 27707 | 2017-10-02 |
| Find all providers in DURHAM | ||||
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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.