KATHERINE R BREDEHOEFT (NPI# 1558340729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558340729 |
| Entity Type | Individual |
| Full Name | KATHERINE R BREDEHOEFT |
| Credential | PHD |
| Practice Address |
7404 Chapel Hill Rd Ste A Raleigh NC 27607-5043 |
| Mailing Address |
Po Box 3711 Chapel Hill NC 27515-3711 |
| Practice Telephone | 9194689444 |
| Practice Fax Number | 9108299001 |
| Mailing Telephone | 9196125549 |
| Mailing Fax Number | 9108299001 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2726 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000267 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 045M3 | 01 |
| NC | COMPSYCH | 202850 | 01 |
| NC | MEDCOST | E1468 | 01 |
| NC | MANGED HEALTH NETWORK | 265366 | 01 |
| Street Address |
7404 CHAPEL HILL RD STE A |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972820231 | Jackson Chunkit Chiu | Psychiatry & Neurology | 7404 Chapel Hill Rd Ste A, Raleigh, NC 27607-5043 | 2010-04-27 |
| 1982836359 | Lydia Christina Kaus | Counselor | 7404 Chapel Hill Rd Ste A, Raleigh, NC 27607-5043 | 2009-08-18 |
| 1730277443 | James Edward Snyder | Psychologist | 7404 Chapel Hill Rd Ste A, Raleigh, NC 27607-5043 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1538714175 | Rebecca Eileen Barnette | Psychologist | 8374 Six Forks Rd Ste 201, Raleigh, NC 27615-5096 | 2019-08-08 |
| 1851857965 | Jennifer Funaro | Psychologist | 8951 Harvest Oaks Dr, Raleigh, NC 27615-2113 | 2019-02-13 |
| 1518433010 | Sarah Filone | Psychologist | 3040 Hammond Business Pl # 105, Raleigh, NC 27603-3666 | 2018-10-23 |
| 1700387545 | Jamie Grisham | Psychologist | 333 Fayetteville St Ste 1225, Raleigh, NC 27601-1742 | 2018-02-27 |
| 1972002004 | Ethan R. Levine, Ph.d. | Psychologist | 11937 Straight A Way Ln, Raleigh, NC 27613-7105 | 2018-02-05 |
| 1467964379 | Tiffany Hopkins | Psychologist | 361 The Greens Cir Apt 244, Raleigh, NC 27606-5259 | 2017-11-01 |
| 1588199764 | Fitzpatrick Psychological Services | Psychologist | 111 Windel Drive, Suite 213, Raleigh, NC 27609 | 2017-04-26 |
| 1083155709 | Bennie Wheat | Psychologist | 3717 National Dr Ste 208, Raleigh, NC 27612-4877 | 2017-03-14 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on KATHERINE R BREDEHOEFT.
| 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.