DR. PHILLIP FULLWOOD (NPI# 1710909288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710909288 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP FULLWOOD |
| Credential | M.D. |
| Practice Address |
121 S Estes Dr Suite 100 Chapel Hill NC 27514-2868 |
| Mailing Address |
121 S Estes Dr Suite 100 Chapel Hill NC 27514 |
| Practice Telephone | 9199134200 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
36525 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3404921 | 05 |
| Street Address |
121 S ESTES DR SUITE 100 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891735502 | Ann Fairfax Baker | Psychologist | 121 S Estes Dr, Suite 204c, Chapel Hill, NC 27514-2868 | 2006-06-08 |
| 1659617645 | Jennie Welner | Nurse Practitioner | 121 S Estes Dr, Suite 205d, Chapel Hill, NC 27514-2868 | 2012-12-18 |
| 1942435979 | Meng Monica Meng | Dentist | 121 S Estes Dr, Suite 206, Chapel Hill, NC 27514-2868 | 2009-05-19 |
| 1124224134 | Jennifer Riann Howard | Dentist | 121 S Estes Dr, Suite 206, Chapel Hill, NC 27514-2868 | 2007-06-26 |
| 1194869263 | Sid Pazokian | Dentist | 121 S Estes Dr, Suit#206, Chapel Hill, NC 27514-2868 | 2007-02-20 |
| 1508904079 | Cynthia Anne Fraed | Obstetrics & Gynecology | 121 S Estes Dr, Suite 205-d, Chapel Hill, NC 27514-2868 | 2007-02-04 |
| 1033260096 | Susanne Parkhurst Jackson | Dentist | 121 S Estes Dr, Suite 205-a, Chapel Hill, NC 27514-2868 | 2007-01-16 |
| 1306912704 | Patricia Jean Catanio | Social Worker | 121 S Estes Dr, 204a, Chapel Hill, NC 27514-2868 | 2006-11-28 |
| 1417043605 | Jeffrey Noble Berndt | Dentist | 121 S Estes Dr, Chapel Hill, NC 27514-2868 | 2006-10-05 |
| 1952414617 | Sonia Rapaport | Family Medicine | 121 S Estes Dr, Suite 205d, Chapel Hill, NC 27514-2868 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1386179042 | Erica Swanson Hatch | Psychiatry & Neurology | Unc Dept of Psychiatry 101 Manning Dr, Cb# 7160, Chapel Hill, NC 27599-0001 | 2017-05-01 |
| 1740636448 | Katy Sims | Psychiatry & Neurology | Unc Psychiatry Residency Program, Cb# 7160, G0204 Neurosciences Hospital, Chapel Hill, NC 27599-0001 | 2016-05-11 |
| 1235585233 | Evan Michael Vitiello | Psychiatry & Neurology | General Psychiatry Residency Training, Cb# 7160, G0204 Neurosciences Hospital, Chapel Hill, NC 27599-7160 | 2016-05-09 |
| 1598139552 | Anne Marie Antoinette Riether | Psychiatry & Neurology | 252 Medical School Wing D, Chapel Hill, NC 27599-7176 | 2015-11-13 |
| 1023497831 | Rachel Marie Frische | Psychiatry & Neurology | Unc Psychiatry Residency, Cb# 7160, 10625 Neurosciences Hospital, Chapel Hill, NC 27599-7160 | 2015-05-26 |
| 1629456652 | Douglas Henningsen | Psychiatry & Neurology | Unc Department of Psychiatry Third Floor, Third Floor, Medical School Wing D Campus Box 7160, Chapel Hill, NC 27599-7160 | 2015-05-11 |
| 1639557945 | Michael Kane | Psychiatry & Neurology | Unc Psychiatry Outpatient Clinic Of, Ground Floor Neurosciences Hospital, Campus Box 7160, Chapel Hill, NC 27599-7160 | 2015-05-07 |
| 1316358237 | Takahiro Soda | Psychiatry & Neurology | 1 St Fl Neurosci, Chapel Hill, NC 27599-0001 | 2014-05-13 |
| 1790196681 | William David Scheidler | Psychiatry & Neurology | Unc Department of Psychiatry 101 Manning Dr, Cb#7160, Chapel Hill, NC 27599-0001 | 2014-05-13 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
Please comment or provide details below to improve the information on DR. PHILLIP FULLWOOD.
| 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.