NOVA-IC, INC. (NPI# 1477882249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477882249 |
| Entity Type | Organization |
| Organization Name | NOVA-IC, INC. |
| Practice Address |
2307 Norwood Ave Ste A Goldsboro NC 27534-1601 |
| Mailing Address |
Po Box 11077 Goldsboro NC 27532-1077 |
| Practice Telephone | 9197354736 |
| Practice Fax Number | 9197356825 |
| Mailing Telephone | 9197354736 |
| Mailing Fax Number | 9197356825 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | KELLY DIANNE HOLMES (BILLING MANAGER) |
| Authorized Official Telephone | 9197354736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 102L00000X | Psychoanalyst | 2518 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C005336 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C004079 | NC | Behavioral Health & Social Service Providers |
| N | 207Q00000X | Family Medicine | 34782 | NC | Allopathic & Osteopathic Physicians |
| Y | 103T00000X | Psychologist | 0715 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6006439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750684015 | Nova-ic, Inc. | Community/Behavioral Health | 1216 North Dr, Goldsboro, NC 27534-1858 | 2010-12-08 |
| 1124334339 | Nova-ic, Inc. | Case Management | 2307 Norwood Ave Ste G, Goldsboro, NC 27534-1601 | 2010-08-25 |
| 1831418185 | Nova-ic, Inc. | Psychologist | 2307 Norwood Ave Ste D, Goldsboro, NC 27534-1601 | 2010-05-26 |
| 1841519196 | Nova-ic, Inc. | Community/Behavioral Health | 2002 C Shackleford Road, Kinston, NC 28504-7476 | 2010-05-26 |
| 1811136617 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 195 Airport Road, Goldsboro, NC 27530-8086 | 2009-02-18 |
| 1043459852 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 1509 Holly Street, Goldsboro, NC 27534-3033 | 2009-02-18 |
| 1972742781 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 3801 Us 117 North, Goldsboro, NC 27530-8086 | 2009-02-18 |
| 1699914598 | Nova-ic, Inc. | Intermediate Care Facility, Mentally Retarded | 2510 Norwood Ave, Goldsboro, NC 27534-1671 | 2009-02-17 |
| 1053634824 | Nova-ic, Inc. | Family Medicine | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2010-03-09 |
| Street Address |
2307 NORWOOD AVE STE A |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689163453 | Rachel Lynn Kininger | Psychologist | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2018-05-07 |
| 1700330651 | Ryan T Ford | Counselor | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2016-08-09 |
| 1366827321 | Kayzandra Leigh Exum Bond | Counselor | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2015-07-20 |
| 1053634824 | Nova-ic, Inc. | Family Medicine | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700256427 | Karen Schaefer | Psychologist | 1050 Jabara Ave., Goldsboro, NC 27531 | 2015-10-07 |
| 1831418185 | Nova-ic, Inc. | Psychologist | 2307 Norwood Ave Ste D, Goldsboro, NC 27534-1601 | 2010-05-26 |
| 1740371061 | Cynthia Russo May | Psychologist | 1619 S Taylor St, Goldsboro, NC 27530-6768 | 2006-09-28 |
| 1972081057 | Ira Howard Dolin | Psychologist | 307 Beech St, Goldsboro, NC 27530-2818 | 2018-08-01 |
| 1558856740 | Priscilla Thorn | Psychologist | 2610 Hospital Rd, Goldsboro, NC 27534-9423 | 2018-06-29 |
| 1689163453 | Rachel Lynn Kininger | Psychologist | 2307 Norwood Ave Ste A, Goldsboro, NC 27534-1601 | 2018-05-07 |
| 1760834576 | Sean Vick | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2016-07-05 |
| 1871909176 | Alexis Kreske | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2014-07-08 |
| 1699038612 | Holly Ann Manley | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2012-06-25 |
| 1568730562 | Rosalyn Nicol Newton | Psychologist | 550 W New Hope Rd, Apt B4, Goldsboro, NC 27534-7560 | 2011-12-05 |
| Find all providers in GOLDSBORO | ||||
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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.