MARK STURGIS JR. (NPI# 1700443207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700443207 |
| Entity Type | Individual |
| Full Name | MARK STURGIS JR. |
| Credential | CSAC |
| Practice Address |
172 Spring St Sw Concord NC 28025-5035 |
| Mailing Address |
3815 N Tryon St Charlotte NC 28206-2060 |
| Practice Telephone | 7047868722 |
| Mailing Telephone | 7043728809 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1154545663 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1154545663 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226752 | Mark David Sturgis | Optometrist | 397 Broad St, Manchester, CT 06040-4036 | 2006-06-20 |
| Street Address |
172 SPRING ST SW |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073634408 | The Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 172 Spring St Sw, Concord, NC 28025-5035 | 2007-04-03 |
| 1700349115 | Jacqueline Lovon Jordan | Counselor | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054163 | Portia Bell Hume Behavioral Health & Training Center | Psychologist | 1470 Civic Ct Ste 110, Concord, CA 94520-5290 | 2019-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453063 | The Noel House | Psychologist | 117 E Lochhaven Dr, Fayetteville, NC 28314-1344 | 2019-05-23 |
| 1427315290 | Patricia Ann Ward | Psychologist | 1463 Jasper Rd, Greenville, NC 27834-6521 | 2012-04-18 |
| 1669704664 | Superior Living,llc | Psychologist | 3709 Columbia Ave Nw, Wilson, NC 27896-1604 | 2010-02-02 |
| 1649341488 | Psychotherapeutic Services, Inc | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2006-11-13 |
| 1700963584 | Kelly Jean Brown | Psychologist | 529 Country Club Road, Brevard, NC 28712 | 2006-11-01 |
| 1174561559 | County of Guilford | Psychologist | 211 S Centennial St, High Point, NC 27260-5215 | 2006-06-04 |
| 1548769680 | Bowden Enterprise Services, LLC | Psychologist | 7341 Windy Ct W, Bailey, NC 27807-8953 | 2018-02-05 |
| 1417387796 | Itherapyrx | Psychologist | 115 Atwood St, Sparta, NC 28675-9299 | 2013-11-22 |
| 1912251695 | Access Family Servides, Inc. | Psychologist | 8396 Six Forks Rd, Raleigh, NC 27615-3058 | 2012-11-02 |
| 1033358312 | Psychotherapeutic Services, Inc. | Psychologist | 3 Centerview Dr, The Hickory Building, Suite 150, Greensboro, NC 27407-3725 | 2009-02-11 |
| 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.