CENTER FOR AUTISM & PSYCHOLOGICAL SERVICES, PLLC (NPI# 1578721676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578721676 |
| Entity Type | Organization |
| Organization Name | CENTER FOR AUTISM & PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
300 Northgate Park Dr Winston Salem NC 27106-3482 |
| Practice Telephone | 3363065644 |
| Practice Fax Number | 3364996049 |
| Mailing Telephone | 3363065644 |
| Mailing Fax Number | 3364996049 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | DR. KRISTIE THOMPSON (PSYCHOLOGIST/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3363065644 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2602 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302082 | 05 |
| Street Address |
300 NORTHGATE PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073565925 | Timothy Wayne Crawford | Psychologist | 300 Northgate Park Dr, Winston Salem, NC 27106-3482 | 2006-05-17 |
| 1700218864 | Pqa Healthcare, Inc | Community/Behavioral Health | 300 Northgate Park Dr, Winston Salem, NC 27106-3482 | 2013-07-31 |
| 1740327170 | Kristie Marie Thompson | Psychologist | 300 Northgate Park Dr, Winston Salem, NC 27106-3482 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073565925 | Timothy Wayne Crawford | Psychologist | 300 Northgate Park Dr, Winston Salem, NC 27106-3482 | 2006-05-17 |
| 1740327170 | Kristie Marie Thompson | Psychologist | 300 Northgate Park Dr, Winston Salem, NC 27106-3482 | 2007-02-01 |
| 1457338287 | Donald J Goldstein | Psychologist | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416528 | Robert Allen Miller | Psychologist | 718 Chalice St, Durham, NC 27705-1717 | 2014-07-27 |
| 1669810172 | J-1 Consultants LLC | Psychologist | 2801 Gaya Ct, Hillsborough, NC 27278-7364 | 2013-06-06 |
| 1396183802 | J-1 Consultants LLC | Psychologist | 1744 Coleman Loop Rd, Hillsborough, NC 27278-9286 | 2013-06-06 |
| 1063850675 | J-1 Consultants LLC | Psychologist | 410 Millstone Dr Ste D, Hillsborough, NC 27278-9047 | 2013-06-06 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1407293194 | J-1 Consultants | Psychologist | 101 Harambee Dr, Efland, NC 27243-9589 | 2013-06-04 |
| 1558708255 | J-1 Consultants LLC | Psychologist | 845 Nelson Loop Rd, Roxboro, NC 27574-7280 | 2013-06-04 |
| 1962740860 | Jennifer Paige Roberts | Psychologist | 4109 Converse Dr, Raleigh, NC 27609-5933 | 2013-01-28 |
| 1447529466 | Jacynthia Swann | Psychologist | 405 Morson St Ste A, Raleigh, NC 27601-1559 | 2011-12-20 |
| 1609172121 | Tamara Puddy | Psychologist | 415 Ansley St, Rocky Mount, NC 27803-2104 | 2011-01-31 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on CENTER FOR AUTISM & PSYCHOLOGICAL SERVICES, PLLC.
| 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.