WILMINGTON MENTAL HEALTH, PLLC (NPI# 1396206330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396206330 |
| Entity Type | Organization |
| Organization Name | WILMINGTON MENTAL HEALTH, PLLC |
| Other Organization Name | WILMINGTON MENTAL HEALTH |
| Practice Address |
3825 Market St Ste 6 Wilmington NC 28403-1426 |
| Practice Telephone | 9107775575 |
| Practice Fax Number | 9107775273 |
| Mailing Telephone | 9107775575 |
| Mailing Fax Number | 9107775273 |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | JOSEPH RENGIFO (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9107775575 |
| Authorized Official Credential | MA, LPC, LCAS, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wilmington Mental Health | Doing Business As Name - Organization |
| Street Address |
3825 MARKET ST STE 6 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952842007 | Joseph Rengifo | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2017-03-08 |
| 1861010035 | Sara Scott Ford | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2020-07-13 |
| 1831750991 | Barbara Alaciel Navarro | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2019-06-27 |
| 1699296624 | Ashley Eldridge | Counselor | 3825 Market St Ste 6, Wilmington, NC 28403-1426 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204297 | Healing Adults & Adolescents Residential Treatment Program LLC | Clinic/Center | 100 Stroud St, Wilmington, DE 19805-4842 | 2020-04-24 |
| 1750926465 | Gwen Borcyk, Msw, Lcsw, Pllc | Clinic/Center | 313 Walnut St Ste 106, Wilmington, NC 28401-4063 | 2019-11-18 |
| 1780231878 | Fortitude Psychological Services, Inc. | Clinic/Center | 4900 Randall Pkwy Ste D, Wilmington, NC 28403-2831 | 2019-08-22 |
| 1982117669 | Sound Psychologial Services, Pa | Clinic/Center | 3317 Masonboro Loop Rd Unit 160, Wilmington, NC 28409-2970 | 2017-11-16 |
| 1962859496 | Your Center, LLC | Clinic/Center | 222 Philadelphia Pike Ste 4, Wilmington, DE 19809-3166 | 2016-05-13 |
| 1720408586 | Merakey Allos | Clinic/Center | 101 Rogers Rd, Wilmington, DE 19801-5778 | 2014-04-21 |
| 1598185670 | Merakey Allos | Clinic/Center | 5574 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2014-04-16 |
| 1275972333 | Merakey Allos | Clinic/Center | 5572 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2013-06-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1659676617 | Andrew W Donohue Do | Clinic/Center | 34 Harlech Dr, Wilmington, DE 19807-2508 | 2011-01-21 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on WILMINGTON MENTAL HEALTH, PLLC.
| 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.