MR. PETER JEFFREY EWERT (NPI# 1730188020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730188020 |
| Entity Type | Individual |
| Full Name | MR. PETER JEFFREY EWERT |
| Credential | PHD |
| Practice Address |
6853 Fairview Rd Ste B Charlotte NC 28210-3363 |
| Practice Telephone | 7043669930 |
| Practice Fax Number | 7043669931 |
| Mailing Telephone | 7043669930 |
| Mailing Fax Number | 7043669931 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1548 | NC | Behavioral Health & Social Service Providers |
| Street Address |
6853 FAIRVIEW RD STE B |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285652214 | Jody M. Shanker | Social Worker | 6853 Fairview Rd, Suite B, Charlotte, NC 28210-3662 | 2006-07-17 |
| 1780684522 | Head Injury Center of Charlotte, Inc. | Clinic/Center | 6853 Fairview Rd, Suite B, Charlotte, NC 28210-3363 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051458 | The Family Advocates | Clinical Neuropsychologist | 1201 Jade Glen Dr, Charlotte, NC 28262-1621 | 2020-10-20 |
| 1861818874 | Dr. Angela Houser-betti, Psyd, Pllc | Clinical Neuropsychologist | 4425 Randolph Rd Ste 208, Charlotte, NC 28211-2324 | 2014-03-14 |
| 1790117679 | Kimberly Leon | Clinical Neuropsychologist | 1001 Blythe Blvd Ste 200d, Charlotte, NC 28203-6215 | 2013-08-02 |
| 1174957609 | Shelley Leigh Leininger | Clinical Neuropsychologist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2013-09-03 |
| 1699028431 | Keith Ganci | Clinical Neuropsychologist | 501 S Sharon Amity Rd, Ste 500, Charlotte, NC 28211-2896 | 2012-10-17 |
| 1780961177 | Graham Alexander Hunter | Clinical Neuropsychologist | 447 S Sharon Amity Rd, Suite 140, Charlotte, NC 28211-2836 | 2011-11-14 |
| 1588941231 | Amy Duckwall | Clinical Neuropsychologist | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2011-11-09 |
| 1407134265 | Gretchen Hunter | Clinical Neuropsychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2011-07-28 |
| 1164721015 | Ana Carine Messler | Clinical Neuropsychologist | 447 S Sharon Amity Rd, Ste 130, Charlotte, NC 28211-2836 | 2011-03-17 |
| 1811204217 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 6911 Shannon Willow Rd, Suite 100, Charlotte, NC 28226-1346 | 2010-09-07 |
| Find all providers in CHARLOTTE | ||||
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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.