PROF. JOHN DOUGHERTY (NPI# 1881711026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881711026 |
| Entity Type | Individual |
| Full Name | PROF. JOHN DOUGHERTY |
| Practice Address |
108 W Firetower Rd Ste D Winterville NC 28590-8408 |
| Practice Telephone | 2528303300 |
| Practice Fax Number | 2528303322 |
| Mailing Telephone | 2528303300 |
| Mailing Fax Number | 2528303322 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1094 | NC | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 411 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538571641 | John Joseph Dougherty Iv | Physical Therapist | 4681 Ohio Dr Ste 110, Frisco, TX 75035-6014 | 2014-05-22 |
| 1720389240 | John James Dougherty | Speech-Language Pathologist | Exceptional Education & Student Services, 13th Floor, 301 North Ninth Street, Richmond, VA 23219-1927 | 2010-11-15 |
| 1982761755 | John P Dougherty | Dentist | 2333 E Campbell Ave, Phoenix, AZ 85016-5525 | 2007-01-02 |
| 1174532907 | John Dennis Dougherty | Dentist | 27 N Mountain Blvd, Mountaintop, PA 18707-1116 | 2006-08-08 |
| 1942238027 | John J Dougherty | Family Medicine | 1010 Carondelet Dr Ste 220, Kansas City, MO 64114-4822 | 2006-06-29 |
| 1043252844 | John D Dougherty IIi | Internal Medicine | 555 E. Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2006-06-13 |
| 1760462543 | John Eugene Dougherty | Dentist | 1809 Nw Davis St, Portland, OR 97209-2121 | 2006-01-18 |
| 1053722934 | John Dougherty | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2014-05-14 |
| 1033448071 | John W Dougherty IIi | Psychiatry & Neurology | 937 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3800 | 2009-12-22 |
| 1508060054 | John Dougherty | Physician Assistant | 333 Cottman Ave, H3116, Philadelphia, PA 19111-2434 | 2007-06-11 |
| Street Address |
108 W FIRETOWER RD STE D |
| City | WINTERVILLE |
| State | NC |
| Zip Code | 28590-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666130 | Domika Dunn | Non-emergency Medical Transport (VAN) | 2634 Mill Street, #3, Winterville, NC 28590 | 2020-07-20 |
| 1417490194 | Sarah Blakely | Counselor | 367 Branchwood Drive, Winterville, NC 28590 | 2016-11-29 |
| 1740671817 | Faith Lewis Hardison | Social Worker | 173 A Emily Dr., Winterville, NC 28590 | 2015-02-11 |
| 1255740932 | Kendal Williams Strickland | Pharmacist | 4240 Nc Hwy 11 South, Winterville, NC 28590 | 2014-08-07 |
| 1396152757 | Patricia Ragin | Counselor | 1200 Freeland Lane, Unit K1, Winterville, NC 28590 | 2014-07-17 |
| 1780941104 | Triniti House of Restoration | Psychiatric Residential Treatment Facility | 485 Marlboro Drive, Winterville, NC 28590 | 2012-04-23 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1740595859 | Christina Neverte Sidrak | Pharmacist | 4211 Nc Highway 11 South, Winterville, NC 28590 | 2010-08-12 |
| 1902124993 | Dove United Counseling and Assessment Services | Counselor | 575 S. Square Drive, Apt 98, Winterville, NC 28590 | 2010-05-14 |
| 1841526407 | Kyle Dombach | Pharmacist | 4211 Winterville Parkway, Winterville, NC 28590 | 2009-11-02 |
| Find all providers in zip 28590 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416528 | Robert Allen Miller | Psychologist | 718 Chalice St, Durham, NC 27705-1717 | 2014-07-27 |
| 1669810172 | J-1 Consultants LLC | Psychologist | 2801 Gaya Ct, Hillsborough, NC 27278-7364 | 2013-06-06 |
| 1396183802 | J-1 Consultants LLC | Psychologist | 1744 Coleman Loop Rd, Hillsborough, NC 27278-9286 | 2013-06-06 |
| 1063850675 | J-1 Consultants LLC | Psychologist | 410 Millstone Dr Ste D, Hillsborough, NC 27278-9047 | 2013-06-06 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1407293194 | J-1 Consultants | Psychologist | 101 Harambee Dr, Efland, NC 27243-9589 | 2013-06-04 |
| 1558708255 | J-1 Consultants LLC | Psychologist | 845 Nelson Loop Rd, Roxboro, NC 27574-7280 | 2013-06-04 |
| 1962740860 | Jennifer Paige Roberts | Psychologist | 4109 Converse Dr, Raleigh, NC 27609-5933 | 2013-01-28 |
| 1447529466 | Jacynthia Swann | Psychologist | 405 Morson St Ste A, Raleigh, NC 27601-1559 | 2011-12-20 |
| 1609172121 | Tamara Puddy | Psychologist | 415 Ansley St, Rocky Mount, NC 27803-2104 | 2011-01-31 |
| Find all providers with the same taxonomy | ||||
| City | WINTERVILLE |
| Zip Code | 28590 |
Please comment or provide details below to improve the information on PROF. JOHN DOUGHERTY.
| 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.