MICHAEL PASQUALE IEZZI (NPI# 1538634480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538634480 |
| Entity Type | Individual |
| Full Name | MICHAEL PASQUALE IEZZI |
| Credential | PHD |
| Practice Address |
1018 Broad St Durham NC 27705-4144 |
| Practice Telephone | 9196953299 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
4947 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1018 BROAD ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988752 | Patricia Adams, Lcsw, Pllc | Social Worker | 1018 Broad St, Durham, NC 27705-4144 | 2019-12-04 |
| 1134571011 | Patricia Adams I | Social Worker | 1018 Broad St, Durham, NC 27705 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326299546 | Gregory Andrew Welikson | Psychologist | 3326 Durham Chapel Hill Blvd Ste 230, Durham, NC 27707-6239 | 2008-10-07 |
| 1588644439 | Jeanine Driscoll | Psychologist | 1502 W Nc Highway 54, #406, Durham, NC 27707-5571 | 2006-01-18 |
| 1578560603 | Anne Converse Avery | Psychologist | 27 Bagdad Rd, Durham, NH 03824-2201 | 2005-07-05 |
| 1679196869 | Ashley Nicole Hill | Psychologist | 2213 Elba St, Durham, NC 27705-3934 | 2020-05-21 |
| 1174096804 | Marvice D. Marcus | Psychologist | 2009 Chapel Hill Rd, Durham, NC 27707-1109 | 2019-01-04 |
| 1982171658 | Nahal C Kaivan Ph D Pllc | Psychologist | 911 Broad St, Durham, NC 27705-4141 | 2018-10-31 |
| 1770035313 | George Nichols | Psychologist | 3326 Durham Chapel Hill Blvd Ste 230, Durham, NC 27707-6239 | 2016-10-31 |
| 1194272815 | Peter John Adams | Psychologist | 5850 Fayetteville Rd, Suite 211, Durham, NC 27713-6289 | 2016-09-10 |
| 1770957342 | Shelby Johnson | Psychologist | 1010 Lamond Ave, Durham, NC 27701-2021 | 2015-11-19 |
| 1518362565 | Gary Glass | Psychologist | 112 Swift Ave, Durham, NC 27705-4883 | 2014-11-01 |
| Find all providers in DURHAM | ||||
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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.