MR. KIRTLEY E THORNTON


Address: 9635 Southern Pine Blvd Ste 105, Charlotte, NC 28273-5558
Phone: 9802294962

MR. KIRTLEY E THORNTON (NPI# 1811933476) 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) 1811933476
Entity Type Individual
Full Name MR. KIRTLEY E THORNTON
Other Name MR. KIRTLEY E THORNTON
Credential PH.D.
Practice Address 9635 Southern Pine Blvd Ste 105
Charlotte
NC 28273-5558
Mailing Address 9635 Southern Pine Blvd, Ste 105
Charlotte
SC 28273-5558
Practice Telephone 9802294962
Practice Fax Number 8036750969
Mailing Telephone 9802294962
Mailing Fax Number 8036750969
Enumeration Date 2006-06-21
Last Update Date 2013-05-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1682 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 9635 SOUTHERN PINE BLVD STE 105
City CHARLOTTE
State NC
Zip Code 28273-5558

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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
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1447721055 Alexis Brightman, Pllc Psychologist 1914 J N Pease Pl Ste 172, Charlotte, NC 28262-4504 2018-12-07
1366920712 Robbie Mae & Associates, LLC Psychologist 4020 Lakota Ct, Charlotte, NC 28269-4074 2018-07-29
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1467847426 Marguerita Sitrin Blaker Psychologist 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 2015-04-06
1699193672 Elizabeth Ann Peterson-vita Psychologist 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 2014-04-07
1093137093 Epiphany Integrated Care Services, LLC Psychologist 4921 Albemarle Rd, Suite 203, Charlotte, NC 28205-6654 2014-01-09
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Competitor

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City CHARLOTTE
Zip Code 28273

Improve Information

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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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