SUSAN CARRILLO (NPI# 1487096822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487096822 |
Entity Type | Individual |
Full Name | SUSAN CARRILLO |
Credential | M.A., LPA |
Practice Address |
205 Plaza Dr Suite C Greenville NC 27858-6752 |
Practice Telephone | 2527561316 |
Mailing Telephone | 2527561316 |
Enumeration Date | 2013-07-26 |
Last Update Date | 2013-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 2268 | NC | Behavioral Health & Social Service Providers |
Street Address |
205 PLAZA DR SUITE C |
City | GREENVILLE |
State | NC |
Zip Code | 27858-6752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578612370 | Bridging The Gap, LLC | Counselor | 205 Plaza Dr, Suite D, Greenville, NC 27858-6752 | 2007-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
Find all providers in zip 27858 |
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 |
---|---|---|---|---|
1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
1629546783 | Sherrita Y Rogers | Psychologist | 601 Country Club Dr Ste F, Greenville, NC 27834-6124 | 2018-11-07 |
1811488869 | Bailey Nevels | Psychologist | 11 N Irvine St, Greenville, SC 29601-4900 | 2018-05-25 |
1356853535 | Patricia Rogers Goodyear | Psychologist | 117 W Antrim Dr, Greenville, SC 29607-2505 | 2017-10-28 |
1538694559 | Jeannie Golden | Psychologist | 104 Rawl Building, Department of Psychology East Carolina University, Greenville, NC 27858 | 2017-04-27 |
1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
1649624115 | Family Health Services of Darke County, Inc. | Psychologist | 1101 Jackson St, Greenville, OH 45331-1183 | 2016-04-20 |
1356716542 | Melanie Albers | Psychologist | 330 E Coffee St, Greenville, SC 29601-2804 | 2015-12-14 |
1518359140 | Optima Counseling and Consulting, LLC | Psychologist | 3505 Pelham Rd Ste B, Greenville, SC 29615-4154 | 2015-02-18 |
1144628801 | Rosalind Banks | Psychologist | 416 Crestmont Way, Greenville, SC 29615-5056 | 2014-12-11 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 27858 |
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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.