DR. SHERRY SUE KOSTMAN (NPI# 1891931770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891931770 |
| Entity Type | Individual |
| Full Name | DR. SHERRY SUE KOSTMAN |
| Credential | PSY.D. |
| Practice Address |
606 Wade Ave Suite 100 Raleigh NC 27605-1390 |
| Mailing Address |
111 Stafford Green Way Greenville SC 29615-4357 |
| Practice Telephone | 9194432360 |
| Practice Fax Number | 8188613321 |
| Mailing Telephone | 3123154411 |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1111 | SC | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 071.007456 | IL | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
1111 | SC | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
071.007456 | IL | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1111 | SC | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
071.007456 | IL | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
071.007456 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1111 | SC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071.007456 | IL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1111 | SC | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071.007456 | IL | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
071.007456 | IL | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1111 | SC | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
071.007456 | IL | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
071.007456 | IL | Behavioral Health & Social Service Providers |
| Street Address |
606 WADE AVE SUITE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295798957 | Rebecca E Dorn | Registered Nurse | 606 Wade Ave, Suite 100, Raleigh, NC 27605-1390 | 2006-04-11 |
| 1659737377 | Daniel Prober | Psychologist | 606 Wade Ave, Suite 100, Raleigh, NC 27605-1390 | 2016-01-11 |
| 1932584851 | Courtney Mitchell Sauter | Psychologist | 606 Wade Ave, Suite 100, Raleigh, NC 27605-1390 | 2015-07-21 |
| 1053718718 | Inpatient Consultants of North Carolina, PC | Family Medicine | 606 Wade Ave, Suite 100, Raleigh, NC 27605-1390 | 2014-11-24 |
| 1689099897 | Nceps Services, Pllc | Psychologist | 606 Wade Ave, Raleigh, NC 27605-1390 | 2014-02-25 |
| 1295172252 | Shaunak Parikh | Nurse Practitioner | 606 Wade Ave, Suite 1, Raleigh, NC 27605-1390 | 2013-05-31 |
| 1548535107 | North Carolina Elderly Psychiatric | Psychiatry & Neurology | 606 Wade Ave, Raleigh, NC 27605-1390 | 2012-03-15 |
| 1528356219 | Paula Marie Kline | Psychologist | 606 Wade Ave, Suite 100, Raleigh, NC 27605-1390 | 2011-07-14 |
| 1033427182 | Cynthia Ann Powell | Counselor | 606 Wade Ave, Ste 100, Raleigh, NC 27605 | 2010-09-22 |
| 1396762837 | Sofia J Umali-jhanji | Nurse Practitioner | 606 Wade Ave, Suite 100, Raleigh, NC 27605-1390 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1538714175 | Rebecca Eileen Barnette | Psychologist | 8374 Six Forks Rd Ste 201, Raleigh, NC 27615-5096 | 2019-08-08 |
| 1851857965 | Jennifer Funaro | Psychologist | 8951 Harvest Oaks Dr, Raleigh, NC 27615-2113 | 2019-02-13 |
| 1518433010 | Sarah Filone | Psychologist | 3040 Hammond Business Pl # 105, Raleigh, NC 27603-3666 | 2018-10-23 |
| 1700387545 | Jamie Grisham | Psychologist | 333 Fayetteville St Ste 1225, Raleigh, NC 27601-1742 | 2018-02-27 |
| 1972002004 | Ethan R. Levine, Ph.d. | Psychologist | 11937 Straight A Way Ln, Raleigh, NC 27613-7105 | 2018-02-05 |
| 1467964379 | Tiffany Hopkins | Psychologist | 361 The Greens Cir Apt 244, Raleigh, NC 27606-5259 | 2017-11-01 |
| 1588199764 | Fitzpatrick Psychological Services | Psychologist | 111 Windel Drive, Suite 213, Raleigh, NC 27609 | 2017-04-26 |
| 1083155709 | Bennie Wheat | Psychologist | 3717 National Dr Ste 208, Raleigh, NC 27612-4877 | 2017-03-14 |
| Find all providers in RALEIGH | ||||
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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.