JACYNTHIA SWANN (NPI# 1447529466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447529466 |
Entity Type | Individual |
Full Name | JACYNTHIA SWANN |
Practice Address |
405 Morson St Ste A Raleigh NC 27601-1559 |
Practice Telephone | 9196072044 |
Mailing Telephone | 9196072044 |
Enumeration Date | 2011-12-20 |
Last Update Date | 2011-12-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
NC | Behavioral Health & Social Service Providers | |
N | 172V00000X | Community Health Worker | NC | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 900780474 | 05 |
Street Address |
405 MORSON ST STE A |
City | RALEIGH |
State | NC |
Zip Code | 27601-1559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
Find all providers in zip 27601 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962740860 | Jennifer Paige Roberts | Psychologist | 4109 Converse Dr, Raleigh, NC 27609-5933 | 2013-01-28 |
1568632164 | Elizabeth Anne Warren | Psychologist | 6300 Lynn Crest Ln Apt 105, Raleigh, NC 27609-2873 | 2008-03-11 |
1497934608 | Clear Synopsis LLC | Psychologist | 3770 Marshlane Way, Raleigh, NC 27610-4279 | 2007-10-24 |
1639210453 | Sheila Lamore Baker | Psychologist | 1909 Teabrook Ct, Raleigh, NC 27610-4567 | 2007-02-12 |
1174691232 | Vijaya Venkata Tangella | Psychologist | 739 Chappell Dr, Raleigh, NC 27606-3215 | 2006-11-30 |
1821144593 | Tlc Operations, Inc | Psychologist | 739 Chappell Dr, Raleigh, NC 27606-3215 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922416528 | Robert Allen Miller | Psychologist | 718 Chalice St, Durham, NC 27705-1717 | 2014-07-27 |
1669810172 | J-1 Consultants LLC | Psychologist | 2801 Gaya Ct, Hillsborough, NC 27278-7364 | 2013-06-06 |
1396183802 | J-1 Consultants LLC | Psychologist | 1744 Coleman Loop Rd, Hillsborough, NC 27278-9286 | 2013-06-06 |
1063850675 | J-1 Consultants LLC | Psychologist | 410 Millstone Dr Ste D, Hillsborough, NC 27278-9047 | 2013-06-06 |
1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
1407293194 | J-1 Consultants | Psychologist | 101 Harambee Dr, Efland, NC 27243-9589 | 2013-06-04 |
1558708255 | J-1 Consultants LLC | Psychologist | 845 Nelson Loop Rd, Roxboro, NC 27574-7280 | 2013-06-04 |
1609172121 | Tamara Puddy | Psychologist | 415 Ansley St, Rocky Mount, NC 27803-2104 | 2011-01-31 |
1073816963 | Heather Smith Burch | Psychologist | 525 N Tryon St Ste 1600, Charlotte, NC 28202 | 2010-12-15 |
1538344775 | Beverly A. Nagy | Psychologist | 424 N Poplar St, Charlotte, NC 28202-1728 | 2008-01-07 |
Find all providers with the same taxonomy |
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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.