DR. JEANINE DRISCOLL (NPI# 1588644439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588644439 |
Entity Type | Individual |
Full Name | DR. JEANINE DRISCOLL |
Credential | PH.D. |
Practice Address |
1502 W Nc Highway 54 #406 Durham NC 27707-5571 |
Mailing Address |
1704 Daniels Farm Rd Mebane NC 27302-7022 |
Practice Telephone | 9194936300 |
Practice Fax Number | 9194936307 |
Mailing Telephone | 9195630881 |
Enumeration Date | 2006-01-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
2376 | NC | Behavioral Health & Social Service Providers |
Street Address |
1502 W NC HIGHWAY 54 #406 |
City | DURHAM |
State | NC |
Zip Code | 27707-5571 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669825592 | Victoria Shawl | Counselor | 1502 W Nc Highway 54, Ste 103, Durham, NC 27707-5571 | 2016-07-15 |
1336537414 | Health Options Wellness Center | Massage Therapist | 1502 W Nc Highway 54, Suite 407, Durham, NC 27707-5571 | 2014-12-24 |
1609264787 | Candace Bruce | Massage Therapist | 1502 W Nc Highway 54, Suite 407, Durham, NC 27707-5571 | 2014-12-24 |
1346665882 | Betsy Pedersen Phd PC | Clinic/Center | 1502 W Nc Highway 54, Suite 603, Durham, NC 27707-5571 | 2014-02-20 |
1871881847 | Jacqueline Louise Newton | Social Worker | 1502 W Nc Highway 54, Suite 103, Durham, NC 27707-5571 | 2011-07-12 |
1073823217 | Nicole Anne Engel | Psychologist | 1502 W Nc Highway 54, Suite 603, Durham, NC 27707-5571 | 2010-10-20 |
1851524300 | Kenneth Michael Levine | Social Worker | 1502 W Nc Highway 54, Suite 505, Durham, NC 27707-5571 | 2009-09-01 |
1114185428 | Nancy Lynn Roman | Psychiatry & Neurology | 1502 W Nc Highway 54, Suite 302, Durham, NC 27707-5571 | 2008-05-23 |
1568583763 | Nicole A. Engel, Ph.d., P..c. | Psychologist | 1502 W Nc Highway 54, Suite 603, Durham, NC 27707-5571 | 2007-04-03 |
1679697288 | Elaine Burgwyn-bailes | Psychologist | 1502 W Nc Highway 54, Suite 603, Durham, NC 27707-5571 | 2007-03-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
Find all providers in zip 27707 |
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 |
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 |
1538634480 | Michael Pasquale Iezzi | Psychologist | 1018 Broad St, Durham, NC 27705-4144 | 2018-10-08 |
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.