MS. SELENA SCOTT (NPI# 1528555604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528555604 |
| Entity Type | Individual |
| Full Name | MS. SELENA SCOTT |
| Practice Address |
3000 New Bern Avenue Raleigh NC 27610-1295 |
| Practice Telephone | 9193504409 |
| Mailing Telephone | 9193504409 |
| Mailing Fax Number | 9193507130 |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 5456 | NC | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 6301016798 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3000 NEW BERN AVENUE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740213354 | Reed Matthew Vanmatre | Anesthesiology | 3000 New Bern Avenue, Raleigh, NC 27610-1231 | 2006-07-08 |
| 1578040325 | Erin Berk Mulder | Nurse Practitioner | 3000 New Bern Avenue, 3rd Floor Neonatology, Raleigh, NC 27610 | 2018-07-24 |
| 1770765182 | Kate Morgan | Nurse Practitioner | 3000 New Bern Avenue, Raleigh, NC 27610-1231 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1134226384 | Meredith Ann Hickory | Clinical Neuropsychologist | Wakemed Rehabilitation, 3000 New Bern Ave, Raleigh, NC 27610 | 2006-09-20 |
| 1487665584 | Jennifer Rebekah Larson | Clinical Neuropsychologist | 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 | 2006-08-11 |
| 1487180394 | Rochelle O'neil | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2017-05-11 |
| 1316322076 | Lynn Kakos | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-07-23 |
| 1447635396 | Courtney Brown | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-07-21 |
| 1962813691 | Paul Cohen | Clinical Neuropsychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2014-05-15 |
| 1659688059 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 13251 Falls of Neuse Rd Ste 121, Raleigh, NC 27614 | 2010-09-07 |
| 1699910182 | Sharon Lynn Leuenberger | Clinical Neuropsychologist | 8520 Six Forks Rd, Suite 204, Raleigh, NC 27615-3095 | 2008-12-11 |
| 1578714846 | Bret A Booth | Clinical Neuropsychologist | 1540 Sunday Dr, Suite 200, Raleigh, NC 27607-6000 | 2008-10-06 |
| 1518158757 | The Neuropsychology Consultants, Pa | Clinical Neuropsychologist | 3824 Barrett Dr, Suite 101, Raleigh, NC 27609-7220 | 2007-08-05 |
| Find all providers in RALEIGH | ||||
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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.