FACT SPECIALIZED SERVICES, INC. (NPI# 1740597608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740597608 |
| Entity Type | Organization |
| Organization Name | FACT SPECIALIZED SERVICES, INC. |
| Practice Address |
127 Center St Jacksonville NC 28546-5708 |
| Practice Telephone | 9103463744 |
| Practice Fax Number | 9103465344 |
| Mailing Telephone | 9103463744 |
| Mailing Fax Number | 9103465344 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | LORNA KATHLEEN ASCHBRENNER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9103463744 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2112 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871801787 | Fact Specialized Services, Inc. | Psychiatry & Neurology | 127 Center St, Jacksonville, NC 28546-5708 | 2010-09-14 |
| Street Address |
127 CENTER ST |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417071069 | F.a.c.t. Specialized Services, Inc. | Community/Behavioral Health | 127 Center St, Jacksonville, NC 28546-5708 | 2007-03-19 |
| 1871801787 | Fact Specialized Services, Inc. | Psychiatry & Neurology | 127 Center St, Jacksonville, NC 28546-5708 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952834574 | Noelle Vann | Psychologist | 13241 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5233 | 2017-04-10 |
| 1134577901 | Nautilus Behavioral Health, Pllc | Psychologist | 12412 San Jose Blvd, Suite 203, Jacksonville, FL 32223-8621 | 2016-06-01 |
| 1487025805 | Shana Boyle | Psychologist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2015-10-12 |
| 1730574286 | New Path Psychology Educational and Psychological Services | Psychologist | 6320 Saint Augustine Rd Ste 6a, Jacksonville, FL 32217-2813 | 2015-04-01 |
| 1639440415 | Karina Andrea Jeifez-zagagi | Psychologist | 1650 Prudential Dr, Suite 210, Jacksonville, FL 32207-8147 | 2012-01-25 |
| 1114226974 | Parastoo F. Nabizadeh | Psychologist | 6816 Southpoint Pkwy, Suite 202, Jacksonville, FL 32216-1700 | 2011-03-19 |
| 1659674786 | Andrew Scherbarth | Psychologist | 6867 Southpoint Dr N Ste 106, Keystone Behavioral Pediatrics/keystone Academy, Jacksonville, FL 32216-8005 | 2010-12-12 |
| 1063733467 | Madeleine J Dunn | Psychologist | 3750 San Jose Pl, Suite 35, Jacksonville, FL 32257-8858 | 2010-06-20 |
| 1134259757 | Sarah Dew-reeves | Psychologist | 12412 San Jose Blvd, Suite 203, Jacksonville, FL 32223-8621 | 2007-03-06 |
| 1811003734 | Lisa M Buckloh | Psychologist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
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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.