PSYCHOTHERAPEUTIC SERVICES (NPI# 1366585135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366585135 |
| 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 | 3365386991 |
| 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 | 103TR0400X |
Psychologist Specialization: Rehabilitation |
NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PSYCHOSOCIAL REHAB | 8300588S | 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 |
| 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 |
| 1790828598 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 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 |
| 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 |
| 1174666929 | 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 | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952789695 | Turquoise Consulting Inc.. | Psychologist | 95 Holly Ridge Rd, Box 161 Kipling, Nc 27543, Angier, NC 27501-6854 | 2015-05-14 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1851660385 | Gregory Javon Powell | Psychologist | 206 Crosswinds Dr, Raeford, NC 28376-7502 | 2011-12-29 |
| 1477792919 | Eva L. Trivett-clark | Psychologist | 134 Doctor's Drive, Boone, NC 28607 | 2009-02-06 |
| 1598844565 | Professional Rehabilitation Consultants | Psychologist | 1710 Kay St, Greensboro, NC 27405-5046 | 2006-11-02 |
| 1609428168 | Jenna Ellison | Psychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-07-15 |
| 1003376914 | Raquan Moser | Psychologist | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-03-25 |
| 1417352568 | John William Kershner | Psychologist | 200 Hawthorne Ln, Behavioral Health Building, Charlotte, NC 28204-2515 | 2014-10-31 |
| 1437474244 | Northcross Medical Center | Psychologist | 16511 Northcross Dr, Suite A, Huntersville, NC 28078-5021 | 2010-04-05 |
| 1558566422 | Myra Ann Preston | Psychologist | 7820 Ballantyne Commons Pkwy, Suite 106, Charlotte, NC 28277-2841 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| 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.