DR. ANTONIO E PUENTE (NPI# 1508968843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508968843 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO E PUENTE |
| Credential | PHD |
| Practice Address |
1508 Military Cutoff Road Ste 303 Wilmington NC 28403 |
| Practice Telephone | 9105099371 |
| Practice Fax Number | 9105099372 |
| Mailing Telephone | 9105099371 |
| Mailing Fax Number | 9105099372 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | NC0831 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 04461 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891107728 | Antonio Nicolas Puente | Clinical Neuropsychologist | 2120 L St Nw, Suite 600, Washington, DC 20037-1527 | 2014-05-27 |
| Street Address |
1508 MILITARY CUTOFF ROAD STE 303 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699002089 | Cynthia R Fitzsimmons | Clinical Neuropsychologist | 313 Walnut St Ste 107, Wilmington, NC 28401-4063 | 2009-11-05 |
| 1184717605 | Richard A. Berg, PC | Clinical Neuropsychologist | 5010 Randall Parkway, Wilmington, NC 28403 | 2006-10-02 |
| 1861439895 | Richard G. Ivins | Clinical Neuropsychologist | 1601 Concord Pike, Suite 92-100, Wilmington, DE 19803-3612 | 2006-05-31 |
| 1033161658 | Barbara Briggs | Clinical Neuropsychologist | 1073 Creekside Dr, Wilmington, DE 19804-3930 | 2006-05-16 |
| 1144218744 | Frederick Kurz | Clinical Neuropsychologist | 1601 Delaware Ave, Suite 32 B, Wilmington, DE 19806-3303 | 2005-10-10 |
| 1831689520 | Danielle Bosenbark | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-05-17 |
| 1194265793 | Laura Freeman | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-03-01 |
| 1245606920 | Gregory Adam Witkin | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2015-08-17 |
| 1063890192 | Maya Zayat | Clinical Neuropsychologist | 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 | 2015-05-08 |
| 1932452745 | Katie L Freeman | Clinical Neuropsychologist | 410 Foulk Rd, Wilmington, DE 19803 | 2012-10-17 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on DR. ANTONIO E PUENTE.
| 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.