MS. CHRISTINE DYKEMAN (NPI# 1811437445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811437445 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE DYKEMAN |
| Credential | MA, LPA, BCBA |
| Practice Address |
1600 E C St Butner NC 27509-2530 |
| Practice Telephone | 9195751350 |
| Practice Fax Number | 9195751562 |
| Mailing Telephone | 9195751350 |
| Mailing Fax Number | 9195751362 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2171 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1600 E C ST |
| City | BUTNER |
| State | NC |
| Zip Code | 27509-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942262928 | Erin Waanders | Occupational Therapist | 1600 E C St, Butner, NC 27509-2530 | 2006-04-05 |
| 1285258962 | Noa Borkan | Dietitian, Registered | 1600 E C St, Butner, NC 27509-2530 | 2020-05-29 |
| 1982109070 | Jennifer Leanne John | Nurse Practitioner | 1600 E C St, Butner, NC 27509-2530 | 2018-03-29 |
| 1912432196 | Elizabeth Reynolds Otoole | Speech-Language Pathologist | 1600 E C St, Butner, NC 27509-2530 | 2017-04-26 |
| 1811438823 | Michael Walker | Psychologist | 1600 E C St, Murdoch Developmental Center, Psychology Services, Butner, NC 27509-2530 | 2017-03-10 |
| 1881134666 | Ashley Hester | Psychologist | 1600 E C St, Psychology Services, Butner, NC 27509-2530 | 2017-02-28 |
| 1427598242 | Vickey Ravenel | Speech-Language Pathologist | 1600 E C St, Butner, NC 27509-2530 | 2017-02-27 |
| 1649661497 | Wal-mart Associates, Inc. | Pharmacy | 1600 E C St, Pharmacy Services, Butner, NC 27509-2530 | 2015-02-16 |
| 1477681500 | Murdoch Developmental Center | Pharmacy | 1600 E C St, Butner, NC 27509-2530 | 2007-03-01 |
| 1932257045 | Rita Ann Ogron | Emergency Medicine | 1600 E C St, Clinic, Butner, NC 27509-2530 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196980 | Kara Holden | Psychologist | Old Nc Hwy 75, Butner, NC 27509 | 2019-04-02 |
| 1891256459 | Brandon Anthony Jones | Nurse Practitioner | 3000 Old Hwy 75, Butner, NC 27509 | 2019-03-27 |
| 1003327180 | Jordan Tryhubenko | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2017-10-17 |
| 1588182695 | Brittini Hanna Harbin | Social Worker | Central Regional Hospital, 300 Veazey Rd., Butner, NC 27509 | 2017-09-08 |
| 1306387568 | Danielle Harris | Counselor | 101 W H St, Butner, NC 27509 | 2017-03-20 |
| 1679014195 | Brittany Griffin | Social Worker | 100 H St, Butner, NC 27509 | 2017-03-16 |
| 1881946952 | Derick Phillip | Internal Medicine | Old Oxford Highway 75 Lsci, Federal Correctional Complex, Butner, NC 27509 | 2012-10-12 |
| 1518215268 | Karla Bowens | Physician Assistant | Fmc Butner Old Highway 75, Butner, NC 27509 | 2012-08-28 |
| 1639456262 | Federal Med Center - Butner | Pharmacy | Old Nc 75, Butner, NC 27509 | 2011-11-10 |
| 1659671220 | Brandon Fraser Wyche | Physician Assistant | Fci Butner Medium II Old Nc Hwy 75, Butner, NC 27509 | 2010-10-28 |
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| 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 |
|---|---|---|---|---|
| 1306930987 | Ann Louise Barrick | Psychologist | 1003 12 Th, Psychology Department, John Umstead Hospital, Butner, NC 27509 | 2006-10-03 |
| 1487268165 | Aryssa Zyniche Washington | Psychologist | 300 Veazey Dr, Butner, NC 27509-1668 | 2020-09-01 |
| 1821612144 | Danielle Rose Balzafiore | Psychologist | 300 Veazey Dr, Butner, NC 27509-1668 | 2020-06-02 |
| 1053874172 | Erika A Vanbeek | Psychologist | 300 Veazey Dr, Butner, NC 27509-1668 | 2019-04-08 |
| 1386108819 | Stephanie Moss | Psychologist | 300 Veazey Dr, Butner, NC 27509-1668 | 2019-01-29 |
| 1922594399 | Kendra Corning | Psychologist | 300 Veazey Dr, Butner, NC 27509-1668 | 2018-07-09 |
| 1427584697 | Lauren Spencer | Psychologist | 1600 East C Street, Butner, NC 27509 | 2017-05-10 |
| 1811438823 | Michael Walker | Psychologist | 1600 E C St, Murdoch Developmental Center, Psychology Services, Butner, NC 27509-2530 | 2017-03-10 |
| 1881134666 | Ashley Hester | Psychologist | 1600 E C St, Psychology Services, Butner, NC 27509-2530 | 2017-02-28 |
| 1841642485 | Kelly Brown | Psychologist | 300 Veazey Dr, Butner, NC 27509-1668 | 2016-07-07 |
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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.