MS. BLAKELY ELIZABETH MULDER (NPI# 1629698683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629698683 |
| Entity Type | Individual |
| Full Name | MS. BLAKELY ELIZABETH MULDER |
| Credential | MA, AGS |
| Practice Address |
5842 Fayetteville Rd Ste 106 Durham NC 27713-6294 |
| Practice Telephone | 9195720000 |
| Mailing Telephone | 9195720000 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1236076 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5842 FAYETTEVILLE RD STE 106 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033462841 | Julie Michalowski | Counselor | 5842 Fayetteville Rd Ste 106, Durham, NC 27713-6294 | 2012-10-17 |
| 1396363511 | Bailey Cole | Psychologist | 5842 Fayetteville Rd Ste 106, Durham, NC 27713-6294 | 2020-07-14 |
| 1326603242 | Sarah Berro | Counselor | 5842 Fayetteville Rd Ste 106, Durham, NC 27713-6294 | 2019-05-06 |
| 1760940704 | Christina Celeste Tufts | Psychologist | 5842 Fayetteville Rd Ste 106, Durham, NC 27713-6294 | 2019-03-08 |
| 1114464278 | Lindsey Ohler | Psychologist | 5842 Fayetteville Rd Ste 106, Durham, NC 27713-6294 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734360 | Anna Sinden Beltramo | Psychologist | 107 Holly Blossom Dr, Durham, NC 27703-9402 | 2013-08-21 |
| 1164922829 | Jessica Nicole Burkhardt | Psychologist | 5850 Fayetteville Rd Ste 211, Durham, NC 27713-6289 | 2018-02-19 |
| 1477928620 | Katherine Charlotte Okoniewski | Psychologist | 5501 Fortunes Ridge Dr, Suite H, Durham, NC 27713-6102 | 2015-12-13 |
| 1780018028 | Beltramo Psychological Services Pllc | Psychologist | 107 Holly Blossom Dr, Durham, NC 27703-9402 | 2013-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030449 | Jason Levi | Psychologist | 217 Leland Dr, Winston Salem, NC 27106-4761 | 2020-10-11 |
| 1861014912 | Nicole Angela Baker | Psychologist | 25 Reed St Ste 202, Asheville, NC 28803-2770 | 2020-05-12 |
| 1871113076 | Anne Kristin Komelasky | Psychologist | 701 Oxfordshire Ln, Chapel Hill, NC 27517-6220 | 2020-04-17 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1134637390 | Laura Courtney Kirby | Psychologist | 4090 Barrett Dr, Raleigh, NC 27609-6604 | 2018-01-22 |
| 1962910711 | Daniel Wells | Psychologist | 9879 Hyde Glen Ct, Charlotte, NC 28262-2657 | 2018-01-15 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1346633179 | Wendy Haugan | Psychologist | 103 Brady Ct, Cary, NC 27511-4574 | 2015-03-18 |
| Find all providers with the same taxonomy | ||||
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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.