CRAIG MILTON JENKINS (NPI# 1730166489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730166489 |
| Entity Type | Individual |
| Full Name | CRAIG MILTON JENKINS |
| Credential | PHD |
| Practice Address |
2817 Reilly Rd Womack Army Medical Center Fort Bragg NC 28310-7324 |
| Practice Telephone | 9109078922 |
| Practice Fax Number | 9109076069 |
| Mailing Telephone | 9109078922 |
| Mailing Fax Number | 9109076069 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1211 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619316346 | Craig R Jenkins | Internal Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2013-06-16 |
| 1841239092 | Craig S Jenkins | Anesthesiology | 5151 Reed Rd, Suite 105 B, Columbus, OH 43220-2553 | 2006-06-05 |
| Street Address |
2817 REILLY RD WOMACK ARMY MEDICAL CENTER |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693792 | Colin M Greene | Family Medicine | 2817 Reilly Rd, Wamc Attn: Dccs, Fort Bragg, NC 28310-7324 | 2005-10-14 |
| 1720602824 | James Harter | Military Health Care Provider | 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2020-06-04 |
| 1952925448 | John Kevin Fitzpatrick | Student in an Organized Health Care Education/Training Program | 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2020-06-01 |
| 1396392601 | Alison Elizabeth Berglund | Physical Therapist | 2817 Reilly Rd, Fort Bragg, NC 28310 | 2019-08-21 |
| 1174091946 | Kerri Ann Henderson | Physical Therapist | 2817 Reilly Rd, Fort Bragg, NC 27332 | 2018-11-09 |
| 1487001483 | Janessa Renee England | Dermatology | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2016-05-19 |
| 1174998652 | Jessica Oseguera Emswiler | Pharmacist | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2015-12-09 |
| 1124422670 | Carrie E Lutzen | Nurse Practitioner | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2014-10-13 |
| 1609281997 | Boonyapa Purt | Dentist | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2014-06-25 |
| 1497009138 | Leslie Fuentes | Nurse Practitioner | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| 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 |
|---|---|---|---|---|
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| 1689724031 | Kathryn A Zielesch | Psychologist | 1315 Cedar St, Fort Bragg, CA 95437-3906 | 2007-01-10 |
| 1518944271 | Glenn Scott Middleton | Psychologist | Bldg D 2004 Marion Street, Usasoc Pad, Fort Bragg, NC 28310-0001 | 2005-12-23 |
| 1780665935 | Joseph David Callister | Psychologist | Malvesti Street, Bldg 3-3242, Fort Bragg, NC 28310-0001 | 2005-11-07 |
| 1255455713 | Myra Connel Burt | Psychologist | 205 South St, Fort Bragg, CA 95437-5540 | 2007-03-19 |
| 1902944580 | Scott Matthew Taubold | Psychologist | 347 Cypress St Ste B, Fort Bragg, CA 95437-5458 | 2007-02-03 |
| 1184657074 | Silvia Degirolamo | Psychologist | 2817 Reilly St, Fort Bragg, NC 28310-1931 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
| 1720698939 | Blue Ridge Behavior Systems Inc | Psychologist | 16147 Lancaster Hwy Ste 110, Charlotte, NC 28277-4196 | 2020-08-03 |
| 1538778584 | Stephanie Goodson | Psychologist | 1638 Lookout Cir, Waxhaw, NC 28173-8085 | 2020-07-27 |
| 1205453388 | Gregory A Welikson, Phd, Pllc | Psychologist | 1334 Daventry Ct, Chapel Hill, NC 27517-9412 | 2020-07-06 |
| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1932746294 | Lindsay Pulver | Psychologist | 3501 Sherbourne Ln, Greensboro, NC 27405-4964 | 2019-12-05 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
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| City | FORT BRAGG |
| Zip Code | 28310 |
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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.