DR. LISA J. BRANDYBERRY (NPI# 1760499156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760499156 |
| Entity Type | Individual |
| Full Name | DR. LISA J. BRANDYBERRY |
| Credential | PHD. |
| Practice Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1831 |
| Mailing Address |
1000 N. First St Suite 1 Albemarle NC 28001-2117 |
| Practice Telephone | 7049391100 |
| Practice Fax Number | 7049391173 |
| Mailing Telephone | 7049832117 |
| Mailing Fax Number | 7049832636 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1842 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000631 | 05 |
| Street Address |
284 EXECUTIVE PARK DR SUITE 100 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030792 | Lacy Henry Miller | Nurse Practitioner | 284 Executive Park Dr, Concord, NC 28025-1831 | 2005-08-22 |
| 1326502204 | Tiffany Robinson Hooker | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2019-01-25 |
| 1710464961 | Christine Ann Still | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-20 |
| 1457838732 | Justine Mohre | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-19 |
| 1821598608 | Holly Hall Hatley | Licensed Practical Nurse | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-02-18 |
| 1063946432 | Lisa Crowder | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-04-12 |
| 1215474267 | Julia Bentley | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2017-01-30 |
| 1760929798 | Richard Moore | Counselor | 284 Executive Park Dr, Suite100, Concord, NC 28025-1894 | 2017-01-29 |
| 1760928352 | Latehia Cade | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-01-06 |
| 1811432818 | Tiffany Moss | Counselor | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2016-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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] |
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|---|---|---|---|---|
| 1497372197 | Sandrina Nabil Kldas | Psychologist | 1333 Willow Pass Rd Ste 122, Concord, CA 94520-7930 | 2020-06-29 |
| 1598385114 | Barbara Pritchard Nash | Psychologist | 1410-2 Monument St, Concord, MA 01742-5323 | 2020-04-23 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1205322005 | Gwendolyn Coke Atwood | Psychologist | 117 Seymour St, Concord, MA 01742-5759 | 2018-07-03 |
| 1356881080 | John Fraire Aldava Iv, Phd, Psychology Group P.C. | Psychologist | 1866 Clayton Rd Ste 103a, Concord, CA 94520-2566 | 2017-02-28 |
| 1619421575 | Janine Hill | Psychologist | 107 Westford Rd, Concord, MA 01742-5220 | 2016-08-09 |
| 1265831739 | Julia Wymer Sollenberger | Psychologist | 45 Walden St, Concord, MA 01742-2533 | 2014-08-20 |
| 1790032183 | Kathryn Elizabeth Schoenfeldt | Psychologist | 79 Washington Ln Se, Concord, NC 28025-3505 | 2012-08-06 |
| 1407184237 | Ivonne Monique Klatt | Psychologist | 2600 Stanwell Dr Ste 220, Concord, CA 94520-4828 | 2009-12-07 |
| 1255561072 | Lucina Miranda | Psychologist | 1866 Clayton Rd Ste 107, Concord, CA 94520 | 2009-07-15 |
| Find all providers in CONCORD | ||||
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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.