DR. TIMOTHY NORRIS WEBSTER (NPI# 1629033006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629033006 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY NORRIS WEBSTER |
| Credential | PHD |
| Practice Address |
160 Kimel Forest Dr Ste 100 Winston Salem NC 27103-6074 |
| Practice Telephone | 3367706451 |
| Practice Fax Number | 3367146475 |
| Mailing Telephone | 3367706451 |
| Mailing Fax Number | 3367146475 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 635 | NC | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 635 | NC | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
635 | NC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
635 | NC | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
635 | NC | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
635 | NC | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
635 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000280 | 05 | |
| NC | BCBS PROVIDER ID | 04862 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193203 | Timothy Webster Sr. | Driver | 1465 Shadow Creek Dr, Orange Park, FL 32065-2514 | 2020-08-10 |
| 1497215321 | Timothy Gregg Webster | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2019-03-25 |
| Street Address |
160 KIMEL FOREST DR STE 100 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922069798 | Richard Leshock | Physician Assistant | 160 Kimel Forest Dr, Ste 100, Winston Salem, NC 27103-6074 | 2006-03-31 |
| 1295286334 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074 | 2016-10-24 |
| 1457706764 | Anesthesia Services Associates Pllc | Anesthesiology | 160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074 | 2016-04-25 |
| 1720350887 | Julia Bates | Nurse Practitioner | 160 Kimel Forest Dr, Winston Salem, NC 27103-6074 | 2012-02-06 |
| 1952613473 | Valarie Mae Goines | Nurse Practitioner | 160 Kimel Forest Dr, Ste 100, Winston Salem, NC 27103-6074 | 2010-07-13 |
| 1164681979 | Timothy Norris Webster, Phd | Psychologist | 160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074 | 2008-06-06 |
| 1518085844 | Robert Hugh Lester | Specialist/Technologist | 160 Kimel Forest Dr, Triad Neurosurgical Associates, Winston Salem, NC 27103-6074 | 2007-03-26 |
| 1740218148 | Tammy P. Slater | Nurse Practitioner | 160 Kimel Forest Dr, Suite #250, Winston Salem, NC 27103-6074 | 2006-06-28 |
| 1932141827 | William Ray Brown Jr. | Neurological Surgery | 160 Kimel Forest Dr, Suite #250, Winston Salem, NC 27103-6074 | 2006-06-12 |
| 1174561856 | Triad Neurosurgical Associates, P.a. | Neurological Surgery | 160 Kimel Forest Dr, Suite #250, Winston Salem, NC 27103-6074 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477939213 | The Epilepsy Institute of Nc | Psychologist | 1311 Westbrook Plaza Dr Ste 100, Winston Salem, NC 27103-1327 | 2015-08-04 |
| 1558779785 | Tara Laymon | Psychologist | 4264 Saddlewood Forest Dr, Winston Salem, NC 27106-3576 | 2014-07-31 |
| 1780901926 | Howard Thomas Bosworth | Psychologist | 1304 Ashley Square, Winston Salem, NC 27103 | 2010-04-28 |
| 1043549900 | Gustavo Rafael Grodnitzky | Psychologist | 736 Mitch Dr, Winston Salem, NC 27104-5126 | 2009-12-23 |
| 1548470776 | Dianne Mitchell, Ph.d., Pllc | Psychologist | 121 Reynolda Vlg, Suite G, Winston Salem, NC 27106-5126 | 2007-05-23 |
| 1801003371 | Pamela D. Corbett | Psychologist | 3560 Buena Vista Rd, Winston Salem, NC 27106-5736 | 2007-05-16 |
| 1295870194 | Embrenche LLC | Psychologist | 1001 S Marshall St Ste 262, 1001 S Marshall Street Suite 262, Winston Salem, NC 27101-5852 | 2007-02-20 |
| 1154406411 | Vicky Gaye Surratt | Psychologist | 125 Ashleybrook Square, Winston Salem, NC 27103 | 2006-10-26 |
| 1659306488 | Jeffrey Alan Smith | Psychologist | 3455 Polo Rd, Suite 106, Winston Salem, NC 27106-4828 | 2006-07-11 |
| 1609800895 | David S. Bathory | Psychologist | 2575 Woodberry Dr, Winston Salem, NC 27106-4622 | 2006-07-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.