DR. CRYSTALL MATTHEWS-WELLS (NPI# 1609112762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609112762 |
Entity Type | Individual |
Full Name | DR. CRYSTALL MATTHEWS-WELLS |
Credential | PH.D. |
Practice Address |
731 Tilghman Dr Dunn NC 28334-5507 |
Practice Telephone | 9102494219 |
Practice Fax Number | 8662791991 |
Mailing Telephone | 9102494219 |
Mailing Fax Number | 8992791991 |
Enumeration Date | 2012-12-18 |
Last Update Date | 2015-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
4775 | NC | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
020850 | NY | Behavioral Health & Social Service Providers |
Street Address |
731 TILGHMAN DR |
City | DUNN |
State | NC |
Zip Code | 28334-5507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598879298 | Jody Lametta Bresee | Social Worker | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2006-08-18 |
1780179317 | Janvier G Gholson | Social Worker | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2018-06-26 |
1285128116 | Allison Barker | Social Worker | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2018-06-14 |
1902304991 | Tajae Thomas | Social Worker | 731 Tilghman Dr, Dunn, NC 28334 | 2018-01-25 |
1558874966 | Tanisha Lanette Dumas | Counselor | 731 Tilghman Dr, Dunn, NC 28334 | 2017-11-07 |
1376077255 | Becky Clark | Social Worker | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2017-04-17 |
1326597865 | Sha'nequa Tucker | Social Worker | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2016-09-26 |
1992173355 | Kellisha Gray | Social Worker | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2015-09-02 |
1740663863 | Adeeba Issa | Counselor | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2015-07-07 |
1659701159 | Heather Pomeroy | Counselor | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2013-11-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013549229 | Passages To Recovery, LLC | Counselor | 201 N Wilson Avenue #d, Dunn, NC 28334 | 2020-02-05 |
1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
1477009728 | Elizabeth Liles Mcgee Fegert | Speech-Language Pathologist | 111 S. Raiload Ave, Dunn, NC 28334 | 2016-08-28 |
1326407602 | Global Health Metrics, LLC | Clinic/Center | 726 Tilghman Drive, Dunn, NC 28334 | 2016-02-16 |
1902296015 | Amanda Weissman | Social Worker | 710 W Broad St, Dunn, NC 28334 | 2015-01-27 |
1861742462 | Southeastern Speciality Clinic | Physician Assistant | 520 Erwin Road, Dunn, NC 28334 | 2012-09-12 |
1558643551 | Alzheimer's Related Care of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd., Dunn, NC 28334 | 2011-09-15 |
1609177104 | Carenet, Inc. | Counselor | 1001 Plain View Hwy, Dunn, NC 28334 | 2010-11-15 |
1003042128 | Trust The Process Inc. | Home Health | 608 A West Broad St, Dunn, NC 28334 | 2009-06-03 |
1861655714 | Carolina Eye Associates Inc | Ophthalmology | 107 Hunt Drive, Dunn, NC 28334 | 2008-07-09 |
Find all providers in zip 28334 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285966564 | G.a.t. Psychological Associates, Pa | Psychologist | 307 Coleridge Dr, Dunn, NC 28334-4408 | 2010-02-11 |
1710147228 | Ada N Ndukwe | Psychologist | 731 Tilghman Dr, Dunn, NC 28334-5507 | 2008-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
1447877618 | Sarah M Amedoro | Psychologist | 930 Dillingham Rd, Barnardsville, NC 28709-9784 | 2020-07-02 |
1518584986 | Amber Nikole Bates | Psychologist | 83 W Moss Creek Dr, Clayton, NC 27520-6908 | 2020-07-01 |
1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
1679109300 | Carol D Nudelman | Psychologist | 10 Twinflower Trl, Asheville, NC 28804-0044 | 2020-03-13 |
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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.