PSYCHOTHERPEUTIC SERVICES, INC (NPI# 1811030612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811030612 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERPEUTIC SERVICES, INC |
| Practice Address |
405 Rudd St Burlington NC 27217-2957 |
| Mailing Address |
Po Box 690 Chestertown MD 21620-0690 |
| Practice Telephone | 3365134229 |
| Practice Fax Number | 3365134228 |
| Mailing Telephone | 4107789114 |
| Mailing Fax Number | 4107787988 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDALL COOPER (CFO) |
| Authorized Official Telephone | 4107789114 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | COMMUNITY SUPPORT SERVICE | 8300589B | 01 |
| NC | 8300589 | 05 |
| Street Address |
405 RUDD ST |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-2957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417399106 | Sharmin Hodge | Social Worker | 405 Rudd St, Burlington, NC 27217-2957 | 2013-07-23 |
| 1093097966 | Anita G Graves | Social Worker | 405 Rudd St, Burlington, NC 27217-2957 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1518351519 | Megan Carroll Gething | Psychiatry & Neurology | 111 Colchester Ave, Patrick 426, Uvm Medical Center, Dept. of Psychiatry, Burlington, VT 05401-1473 | 2015-03-27 |
| 1396152203 | Hiren Umrania | Psychiatry & Neurology | 1236 Huffman Mill Rd # 1500, Burlington, NC 27215-8700 | 2014-07-14 |
| 1831433200 | Lewis Willmuth | Psychiatry & Neurology | 125 Cliff St, Burlington, VT 05401-3905 | 2012-11-24 |
| 1730407131 | Armc Physicians Care, Inc. | Psychiatry & Neurology | 1236 Huffman Mill Rd Ste 1500, Burlington, NC 27215-8700 | 2010-05-10 |
| 1982848313 | Carla G Duszlak | Psychiatry & Neurology | 1211 May Ct, Burlington, NC 27215-3618 | 2009-04-29 |
| 1982745162 | David Clark Ward | Psychiatry & Neurology | 319 N Graham Hopedale Rd Fl A, Burlington, NC 27217-2992 | 2007-02-09 |
| 1033258033 | William Youngson Chen | Psychiatry & Neurology | 3132 Commerce Place, Suite A - 2, Burlington, NC 27215 | 2007-02-06 |
| 1609913771 | Richard Lewis Rubin | Psychiatry & Neurology | 789 Pine Street, Burlington, VT 05401 | 2007-01-30 |
| 1376690578 | Barry Sugarman | Psychiatry & Neurology | 44 Mall Rd, Suite 210, Burlington, MA 01803-4536 | 2007-01-03 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
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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.