PSYCHOTHERAPEUTIC SERVICES (NPI# 1720121528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720121528 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPEUTIC SERVICES |
| Practice Address |
2260 S Church St Suite 304 Burlington NC 21215 |
| Mailing Address |
2260 S. Church St Suite 304 Burlington NC 21215 |
| Practice Telephone | 3365134229 |
| Practice Fax Number | 3365134228 |
| Mailing Telephone | 4107789114 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | MARCIA LYNN CLENDANIEL (BILLING MANAGER) |
| Authorized Official Telephone | 4108102465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DIAGNOSTIC ASSESSMENT | 8300589G | 01 |
| NC | 8300589 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639536139 | Psychotherapeutic Services | Case Management | 400 W Main St Ste 501, Durham, NC 27701-3295 | 2016-01-28 |
| 1588051262 | Psychotherapeutic Services | Case Management | 3 Centerview Dr, Suite 150, Greensboro, NC 27407-3725 | 2015-04-21 |
| 1306085683 | Psychotherapeutic Services | Psychologist | 2260 S Church St, Suite 303, Burlington, NC 27215 | 2009-02-11 |
| 1790979896 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-08-31 |
| 1619161718 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-08-31 |
| 1679616460 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1588707475 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-02-14 |
| 1366585135 | Psychotherapeutic Services | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1174666960 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| 1790828598 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
| Street Address |
2260 S CHURCH ST SUITE 304 |
| City | BURLINGTON |
| State | NC |
| Zip Code | 21215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710900592 | Christopher Lee Davis | Dentist | 2260 S Church St, #603, Burlington, NC 27215-5390 | 2006-07-25 |
| 1003273756 | Center for Orthotic and Prosthetic Care of North Carolina Inc | Prosthetic/Orthotic Supplier | 2260 S Church St, Suite 601, Burlington, NC 27215-5390 | 2016-01-26 |
| 1225396013 | Easter Seals Ucp | Community/Behavioral Health | 2260 S Church St, Suite 303, Burlington, NC 27215-5390 | 2012-04-30 |
| 1033429642 | Brandi Taylor Cotten | Counselor | 2260 S Church St, Suite 506, Burlington, NC 27215-5390 | 2010-10-15 |
| 1306085683 | Psychotherapeutic Services | Psychologist | 2260 S Church St, Suite 303, Burlington, NC 27215 | 2009-02-11 |
| 1619161718 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-08-31 |
| 1295861532 | Tammy P. Mckee | Social Worker | 2260 S Church St, Suite 506, Burlington, NC 27215-5390 | 2007-02-23 |
| 1588707475 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-02-14 |
| 1295878080 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-02-14 |
| 1104969997 | Psychotherapeutic Services | Psychiatry & Neurology | 2260 S Church St, Suite 304, Burlington, NC 21215 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| 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 |
|---|---|---|---|---|
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1518351519 | Megan Carroll Gething | Psychiatry & Neurology | 111 Colchester Ave, Patrick 426, Uvm Medical Center, Dept. of Psychiatry, Burlington, VT 05401-1473 | 2015-03-27 |
| 1396152203 | Hiren Umrania | Psychiatry & Neurology | 1236 Huffman Mill Rd # 1500, Burlington, NC 27215-8700 | 2014-07-14 |
| 1831433200 | Lewis Willmuth | Psychiatry & Neurology | 125 Cliff St, Burlington, VT 05401-3905 | 2012-11-24 |
| 1730407131 | Armc Physicians Care, Inc. | Psychiatry & Neurology | 1236 Huffman Mill Rd Ste 1500, Burlington, NC 27215-8700 | 2010-05-10 |
| 1982848313 | Carla G Duszlak | Psychiatry & Neurology | 1211 May Ct, Burlington, NC 27215-3618 | 2009-04-29 |
| 1811030612 | Psychotherpeutic Services, Inc | Psychiatry & Neurology | 405 Rudd St, Burlington, NC 27217-2957 | 2007-02-14 |
| 1982745162 | David Clark Ward | Psychiatry & Neurology | 319 N Graham Hopedale Rd Fl A, Burlington, NC 27217-2992 | 2007-02-09 |
| 1033258033 | William Youngson Chen | Psychiatry & Neurology | 3132 Commerce Place, Suite A - 2, Burlington, NC 27215 | 2007-02-06 |
| 1609913771 | Richard Lewis Rubin | Psychiatry & Neurology | 789 Pine Street, Burlington, VT 05401 | 2007-01-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 21215 |
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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.