CAROLINA BRAIN WELLNESS CENTER PLLC (NPI# 1871119784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871119784 |
| Entity Type | Organization |
| Organization Name | CAROLINA BRAIN WELLNESS CENTER PLLC |
| Practice Address |
131 Charlotte Ave Ste 101b Sanford NC 27330-4363 |
| Practice Telephone | 9192058325 |
| Mailing Telephone | 9192058325 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | DR. JENNIFER LYNN LUNDMARK RICHARDS (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 9192058325 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
131 CHARLOTTE AVE STE 101B |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205129558 | Jennifer L. L. Richards | Psychologist | 131 Charlotte Ave Ste 101b, Sanford, NC 27330-4363 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| 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 |
|---|---|---|---|---|
| 1205129558 | Jennifer L. L. Richards | Psychologist | 131 Charlotte Ave Ste 101b, Sanford, NC 27330-4363 | 2011-05-19 |
| 1902048903 | Kimberly Nelson Kent | Psychologist | 175 River Oaks Cir, Sanford, FL 32771-9321 | 2009-04-06 |
| 1013044429 | Catherine Carney Brodeur | Psychologist | 32 Patriots Ln, Sanford, ME 04073-2552 | 2007-02-27 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1689737769 | Susan Cherie Sult | Psychologist | 204 N Park Ave Ste 100, Sanford, FL 32771-1293 | 2006-12-19 |
| 1376911917 | Pittsboro Pediatric Psychology and Adhd Clinic | Psychologist | 555 Carthage St, Sanford, NC 27330-4104 | 2015-09-14 |
| 1760807200 | Mindful Paths Psychological Services | Psychologist | 883 Main St, Sanford, ME 04073-3672 | 2014-02-20 |
| 1588717573 | Jerrie A Will | Psychologist | 828 Main St, Sanford, ME 04073-3523 | 2007-01-21 |
| 1033272133 | Central Florida Psychological Ser Inc | Psychologist | 204 N Park Ave Ste 100, Sanford, FL 32771-1293 | 2006-12-19 |
| 1134222755 | Samuel David Aloian Jr. | Psychologist | 111 Dennis Dr, Sanford, NC 27330-6460 | 2006-09-07 |
| Find all providers in SANFORD | ||||
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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.