PROJECT PLAY ABA, PLLC (NPI# 1639603392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639603392 |
| Entity Type | Organization |
| Organization Name | PROJECT PLAY ABA, PLLC |
| Practice Address |
222 Glenwood Ave Apt 603 Raleigh NC 27603-1479 |
| Practice Telephone | 9198018805 |
| Mailing Telephone | 9198018805 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | NATALIE BROOKE JACOME (PSYCHOLOGIST) |
| Authorized Official Telephone | 9198018805 |
| Authorized Official Credential | MA, LPA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | 3564 | NC | Behavioral Health & Social Service Providers |
| Street Address |
222 GLENWOOD AVE APT 603 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013104017 | Heather Nelson Sorrell | Dietitian, Registered | 222 Glenwood Ave, Suite 313, Raleigh, NC 27603-1479 | 2007-10-03 |
| 1366850406 | Jennifer Longo | Specialist/Technologist | 222 Glenwood Ave, Raleigh, NC 27603-1479 | 2014-07-31 |
| 1205113511 | Natalie Brooke Jacome | Psychologist | 222 Glenwood Ave, Apt 603, Raleigh, NC 27603-1479 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| 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 |
|---|---|---|---|---|
| 1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 1639643281 | Cherish Williams | Psychologist | 9207 Baileywick Rd Ste 203, Raleigh, NC 27615-1976 | 2019-01-16 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1184172603 | Amar R Saxena | Psychologist | 1201 Ridge Trace Dr Apt 205, Raleigh, NC 27606-4373 | 2016-09-13 |
| 1063897932 | Brandon Alyn Knettel | Psychologist | 8405 Dunnington Cir, Raleigh, NC 27613-8592 | 2015-07-21 |
| 1649679077 | Megan Pierson | Psychologist | 3309 Leesville Towns Ct, Raleigh, NC 27613-3403 | 2014-08-21 |
| 1942637905 | Jacquelyn Harrison | Psychologist | 1540 Sunday Dr Ste 200, Raleigh, NC 27607-6000 | 2013-10-04 |
| 1083056352 | Kendra R. Mccarty | Psychologist | 606 Wade Ave Ste 100, Raleigh, NC 27605-1391 | 2013-07-26 |
| 1528409737 | Patricia L. Clark | Psychologist | 117 Tecumseh Ct., Raleigh, NC 27607 | 2013-07-16 |
| Find all providers in RALEIGH | ||||
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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.