MS. PAMELA D. CORBETT


Address: 3560 Buena Vista Rd, Winston Salem, NC 27106-5736
Phone: 3367611121

MS. PAMELA D. CORBETT (NPI# 1801003371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801003371
Entity Type Individual
Full Name MS. PAMELA D. CORBETT
Credential MA, LPA
Practice Address 3560 Buena Vista Rd
Winston Salem
NC 27106-5736
Practice Telephone 3367611121
Practice Fax Number 3367615949
Mailing Telephone 3367940011
Mailing Fax Number 3367615949
Enumeration Date 2007-05-16
Last Update Date 2008-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 923 NC Behavioral Health & Social Service Providers

Office Location

Street Address 3560 BUENA VISTA RD
City WINSTON SALEM
State NC
Zip Code 27106-5736

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NPI Name Taxonomy Address Enumeration
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1679030316 Lavonda Williams Behavior Technician 1959 N Peace Haven Road, Winston Salem, NC 27106 2019-03-01
1518436708 Angela Ruth Brown Physical Therapy Assistant 190 Moravian Way Drive, Winston-salem, NC 27106 2018-11-16
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1750801676 Julia Ann Horton Speech-Language Pathologist 2000 Salemtowne Drive, Winston Salem, NC 27106 2017-06-21
1124548037 Tyler John Jones Community Health Worker 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 2017-06-21
1396274759 Jennifer Cui Social Worker 3216 Cross Tree Rd, Winston-salem, NC 27106 2017-06-08
1063947802 Rebecca Jeanette Mclemore Social Worker 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 2017-05-01
1720529357 Rising Hope Clinical Assistance, LLC Community/Behavioral Health 510 Northgate Park Dr, Winston Salem, NC 27106 2017-03-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477939213 The Epilepsy Institute of Nc Psychologist 1311 Westbrook Plaza Dr Ste 100, Winston Salem, NC 27103-1327 2015-08-04
1558779785 Tara Laymon Psychologist 4264 Saddlewood Forest Dr, Winston Salem, NC 27106-3576 2014-07-31
1780901926 Howard Thomas Bosworth Psychologist 1304 Ashley Square, Winston Salem, NC 27103 2010-04-28
1043549900 Gustavo Rafael Grodnitzky Psychologist 736 Mitch Dr, Winston Salem, NC 27104-5126 2009-12-23
1548470776 Dianne Mitchell, Ph.d., Pllc Psychologist 121 Reynolda Vlg, Suite G, Winston Salem, NC 27106-5126 2007-05-23
1295870194 Embrenche LLC Psychologist 1001 S Marshall St Ste 262, 1001 S Marshall Street Suite 262, Winston Salem, NC 27101-5852 2007-02-20
1154406411 Vicky Gaye Surratt Psychologist 125 Ashleybrook Square, Winston Salem, NC 27103 2006-10-26
1659306488 Jeffrey Alan Smith Psychologist 3455 Polo Rd, Suite 106, Winston Salem, NC 27106-4828 2006-07-11
1609800895 David S. Bathory Psychologist 2575 Woodberry Dr, Winston Salem, NC 27106-4622 2006-07-11
1821037144 William Maxwell Acree Psychologist 190 Kimel Park Dr Ste 121, Winston Salem, NC 27103-6946 2006-06-05
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City WINSTON SALEM
Zip Code 27106

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Dataset Information

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.

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