DR. JOAN DIANE BRUGMAN (NPI# 1760540306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760540306 |
| Entity Type | Individual |
| Full Name | DR. JOAN DIANE BRUGMAN |
| Credential | PSY.D. |
| Practice Address |
915 Tate Blvd Se Ste 186 Hickory NC 28602-4042 |
| Practice Telephone | 8284498563 |
| Practice Fax Number | 8283238348 |
| Mailing Telephone | 8284498563 |
| Mailing Fax Number | 8283238348 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2300 | NC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2300 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000447 | 05 | |
| NC | BLUE CROSS BLUE SHIELD ID | 0369Q | 01 |
| NC | 1760540306 | 05 |
| Street Address |
915 TATE BLVD SE STE 186 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318246 | Mary J. Britton | Family Medicine | 915 Tate Blvd Se Ste 186, Hickory, NC 28602-4042 | 2005-07-01 |
| 1639558034 | Fryecare Valdese, LLC | Internal Medicine | 915 Tate Blvd Se Ste 186, Hickory, NC 28602-4042 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| 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 |
|---|---|---|---|---|
| 1467767921 | Vanessa Craig Short | Psychologist | 3945 Glen Hollow Ln Ne, Hickory, NC 28601-8728 | 2010-08-09 |
| 1639357668 | Johnny L. Kirby Jr. | Psychologist | 211 S Nc 127 Hwy, Suite 130, Hickory, NC 28602-3541 | 2008-01-31 |
| 1407052665 | Elyse Fran Freilich | Psychologist | 326 2nd Ave Nw, Hickory, NC 28601-4944 | 2007-06-25 |
| 1538225750 | David Jerome Ludwig | Psychologist | 324 2nd Ave Se, Hickory, NC 28602-3043 | 2006-12-29 |
| 1629170915 | Jennifer S Cappelletty | Psychologist | 255 18th Street Se, Hickory, NC 28602 | 2006-09-05 |
| 1215039383 | Daniel C Opdyke | Psychologist | 321 7th St Ne, Suite B, Hickory, NC 28601-5113 | 2006-09-01 |
| 1215475314 | Dlp Frye Medical Group LLC | Psychologist | 915 Tate Blvd Se, Suite 186, Hickory, NC 28602-4042 | 2017-02-08 |
| 1124406541 | Jaimily Justice | Psychologist | 255 18th St Se, Hickory, NC 28602-1364 | 2015-05-18 |
| 1023388618 | Sandra Joyce Worthington | Psychologist | 255 18th St Se, Hickory, NC 28602-1364 | 2012-01-12 |
| 1609191980 | Michelle Ann Mcclain | Psychologist | 326 2nd Ave Nw, Hickory, NC 28601-4944 | 2010-03-30 |
| Find all providers in HICKORY | ||||
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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.