ELAINE BURGWYN-BAILES (NPI# 1679697288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679697288 |
| Entity Type | Individual |
| Full Name | ELAINE BURGWYN-BAILES |
| Credential | PH.D |
| Practice Address |
1502 W Nc Highway 54 Suite 603 Durham NC 27707-5571 |
| Practice Telephone | 9194193110 |
| Mailing Telephone | 9194193110 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2602 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD NC | 045C0 | 01 |
| Street Address |
1502 W NC HIGHWAY 54 SUITE 603 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-5571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644439 | Jeanine Driscoll | Psychologist | 1502 W Nc Highway 54, #406, Durham, NC 27707-5571 | 2006-01-18 |
| 1669825592 | Victoria Shawl | Counselor | 1502 W Nc Highway 54, Ste 103, Durham, NC 27707-5571 | 2016-07-15 |
| 1336537414 | Health Options Wellness Center | Massage Therapist | 1502 W Nc Highway 54, Suite 407, Durham, NC 27707-5571 | 2014-12-24 |
| 1609264787 | Candace Bruce | Massage Therapist | 1502 W Nc Highway 54, Suite 407, Durham, NC 27707-5571 | 2014-12-24 |
| 1346665882 | Betsy Pedersen Phd PC | Clinic/Center | 1502 W Nc Highway 54, Suite 603, Durham, NC 27707-5571 | 2014-02-20 |
| 1871881847 | Jacqueline Louise Newton | Social Worker | 1502 W Nc Highway 54, Suite 103, Durham, NC 27707-5571 | 2011-07-12 |
| 1073823217 | Nicole Anne Engel | Psychologist | 1502 W Nc Highway 54, Suite 603, Durham, NC 27707-5571 | 2010-10-20 |
| 1851524300 | Kenneth Michael Levine | Social Worker | 1502 W Nc Highway 54, Suite 505, Durham, NC 27707-5571 | 2009-09-01 |
| 1114185428 | Nancy Lynn Roman | Psychiatry & Neurology | 1502 W Nc Highway 54, Suite 302, Durham, NC 27707-5571 | 2008-05-23 |
| 1568583763 | Nicole A. Engel, Ph.d., P..c. | Psychologist | 1502 W Nc Highway 54, Suite 603, Durham, NC 27707-5571 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1861033839 | Hope Inga Hills | Psychologist | 1118 Scholastic Cir, Durham, NC 27713-6580 | 2019-10-01 |
| 1336704808 | Rachel Bradley | Psychologist | 1415 W Nc Highway 54 Ste 210, Durham, NC 27707-5597 | 2019-05-09 |
| 1033620620 | Beverly H Savinsky | Psychologist | 4125 Ben Franklin Blvd Ste 160, Durham, NC 27704-2167 | 2017-10-23 |
| 1134659105 | Center for Health and Emotional Wellness, Pllc | Psychologist | 4819 Emperor Blvd Ste 400, Durham, NC 27703-5420 | 2017-06-13 |
| 1053843532 | Warren Eugene Hoskins II | Psychologist | 2611 Camellia Dr, Durham, NC 27705-2075 | 2017-04-03 |
| 1558778332 | Shiahna Dye | Psychologist | 3200 Old Chapel Hill Rd, Durham, NC 27707-3606 | 2014-07-14 |
| 1902226699 | Tonya Omar Pllc Dba The Aya Center | Psychologist | 3500 Westgate Dr Ste 101, Durham, NC 27707-2568 | 2014-04-21 |
| 1316373871 | Elizabeth Ann Schmitt | Psychologist | 414 Gresham Ave, Durham, NC 27704-4214 | 2013-09-16 |
| 1457792830 | Tracy Cannady | Psychologist | 3308 Durham Chapel Hill Blvd Ste F, Durham, NC 27707-6200 | 2013-07-12 |
| 1912346339 | Jennifer Carolyn Plumb Vilardaga | Psychologist | 2200 W Main St Ste 340, Durham, NC 27705-4677 | 2013-06-19 |
| Find all providers in DURHAM | ||||
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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.