WALYKO PSYCHOLOGICAL ASSOCIATES, INC. (NPI# 1598901159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598901159 |
| Entity Type | Organization |
| Organization Name | WALYKO PSYCHOLOGICAL ASSOCIATES, INC. |
| Practice Address |
3485 S Evans St Greenville NC 27834-4532 |
| Mailing Address |
220 Emerson Dr Rocky Mount NC 27803-2234 |
| Practice Telephone | 2523536277 |
| Practice Fax Number | 2523536511 |
| Mailing Telephone | 2529377661 |
| Mailing Fax Number | 2523536511 |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |
| Authorized Official Name | MS. CHARLOTTE REEVES WALYKO (LICENSED PSYCHOLOGICAL ASSOCIATE) |
| Authorized Official Telephone | 2529377661 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1699 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107008 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 04579 | 01 |
| NC | MEDCOST | E4385 | 01 |
| Street Address |
3485 S EVANS ST |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003807611 | Steven Harold Deters | Psychologist | 3485 S Evans St, Ste A, Greenville, NC 27834-4532 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514587 | Lisa Johnson Reid | Clinic/Center | 3491 Evans St Ste B, Greenville, NC 27834-4534 | 2020-10-07 |
| 1497363527 | Lumin Center, LLC | Clinic/Center | 306a Mills Ave, Greenville, SC 29605-4022 | 2020-07-15 |
| 1407497803 | Jouney Counseling, LLC | Clinic/Center | 439 Congaree Rd Ste 6, Greenville, SC 29607-2868 | 2019-10-07 |
| 1366004848 | Vitality Clinical Services, Pllc | Clinic/Center | 300 E Arlington Blvd Ofc 9, Greenville, NC 27858-5037 | 2019-07-03 |
| 1023304748 | Genesis Inc. of Nc | Clinic/Center | 609 Country Club Dr, Suite D, Greenville, NC 27834-6208 | 2011-06-21 |
| 1164481867 | Piedmont Psychiatric Service Pa | Clinic/Center | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-03-21 |
| 1235127572 | Sandra Bunch Walton | Clinic/Center | 1990 Allen Rd, Suite B, Greenville, NC 27834-0058 | 2005-10-11 |
| 1598234056 | Samaritan Health Care, PC | Clinic/Center | 811 E Kent Rd, Greenville, MI 48838-9791 | 2018-11-14 |
| 1861979270 | Peri Counseling, Pllc | Clinic/Center | 1310 E Arlington Blvd Ste A, Greenville, NC 27858-9976 | 2018-07-27 |
| 1205209608 | Good Samaritan Clinic of Washington County Inc. | Clinic/Center | 2524 E Alexander St, Greenville, MS 38703-3330 | 2015-11-06 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.