DEVELOPING MINDS OF NORTH CAROLINA, PLLC (NPI# 1376707927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376707927 |
| Entity Type | Organization |
| Organization Name | DEVELOPING MINDS OF NORTH CAROLINA, PLLC |
| Practice Address |
820 Broad St Durham NC 27705-4138 |
| Practice Telephone | 9197943919 |
| Mailing Telephone | 9197943919 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | KERRY LEE LANDRY (PARTNER/ MANAGER) |
| Authorized Official Telephone | 9197943919 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
820 BROAD ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144372715 | Daniel Isaiah Greene | Psychiatry & Neurology | 820 Broad St, Durham, NC 27705-4138 | 2007-01-17 |
| 1922640309 | Christine Coleman | Psychologist | 820 Broad St, Durham, NC 27705-4138 | 2019-10-17 |
| 1164829719 | Jennifer Colvin | Psychiatry & Neurology | 820 Broad St, Durham, NC 27705-4138 | 2014-11-25 |
| 1437316916 | Ana Carla Perez Smith | Psychiatry & Neurology | 820 Broad St, Durham, NC 27705-4138 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033484555 | Jean Gaillard Spaulding | Psychiatry & Neurology | 2400 Pratt St Ste 1500, Box 3644 First Floor, Durham, NC 27705-3976 | 2012-03-16 |
| 1396910857 | Kerry Lee Landry | Psychiatry & Neurology | 3616 Shannon Rd Ste 200, Durham, NC 27707 | 2008-04-25 |
| 1629675277 | Danielle Nicole Lampman | Psychiatry & Neurology | 4024 Stirrup Creek Dr, Durham, NC 27703-9464 | 2020-10-07 |
| 1740676154 | Michael Dunlap | Psychiatry & Neurology | 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 | 2015-04-13 |
| 1164829719 | Jennifer Colvin | Psychiatry & Neurology | 820 Broad St, Durham, NC 27705-4138 | 2014-11-25 |
| 1568620128 | Joseph Charles Crozier | Psychiatry & Neurology | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2008-05-29 |
| 1457527327 | Jennifer E Holton | Psychiatry & Neurology | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2008-05-01 |
| 1366618332 | Erikka Daniene Dzirasa | Psychiatry & Neurology | 3616 Shannon Rd Ste 200, Durham, NC 27707-3532 | 2008-04-30 |
| 1740475888 | Toby Benjamin Dewitt | Psychiatry & Neurology | 813 Broad St, Durham, NC 27705-4137 | 2007-09-12 |
| 1134225410 | Jean G Spaulding Md | Psychiatry & Neurology | 2400 Pratt Street, Suite 1500 First Floor, Durham, NC 27710 | 2006-09-15 |
| 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.