DR. ROGER JEROME NUNES (NPI# 1679631758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679631758 |
Entity Type | Individual |
Full Name | DR. ROGER JEROME NUNES |
Credential | ED.D. |
Practice Address |
105 Leon Dr Goldsboro NC 27530-9029 |
Practice Telephone | 9195809252 |
Mailing Telephone | 9195809252 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-09-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1924 | NC | Behavioral Health & Social Service Providers |
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1924 | NC | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1924 | NC | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1924 | NC | Behavioral Health & Social Service Providers |
N | 103TF0200X |
Psychologist Specialization: Forensic |
1924 | NC | Behavioral Health & Social Service Providers |
N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1924 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6000454 | 05 | |
NC | LICENSED PSYCHOLOGIST | 0324R | 01 |
Street Address |
105 LEON DR |
City | GOLDSBORO |
State | NC |
Zip Code | 27530-9029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
Find all providers in zip 27530 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225431356 | Calvin Graham | Psychologist | 501 Shelley Dr, Goldsboro, NC 27534-3251 | 2014-10-03 |
1528113446 | Alisa R Young | Psychologist | 1700 E Ash St Ste 203, Goldsboro, NC 27530-4097 | 2007-01-23 |
1316988959 | James T. Smith | Psychologist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2006-06-08 |
1790757698 | Teresa A Poole | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2006-02-03 |
1316938731 | Jonathan Alan Barnes | Psychologist | 301 Violeta Cir, Goldsboro, NC 27534-3245 | 2005-11-03 |
1811349699 | Astrid Ertola | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2016-07-06 |
1508213158 | Cynthia Lewis | Psychologist | 1401 W Ash St, Goldsboro, NC 27530-1078 | 2016-05-24 |
1518220185 | Cynthia Koempel | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2012-06-19 |
1508130576 | Natalie A. Kemp | Psychologist | 1214 Parkway Dr, Goldsboro, NC 27534-3448 | 2012-03-08 |
1922334416 | Jillian Fitch | Psychologist | 2719 Graves Dr Ste 7, Goldsboro, NC 27534-4536 | 2009-10-19 |
Find all providers in GOLDSBORO |
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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.