CAROLINA NEUROPSYCHOLOGICAL SERVICE, INC (NPI# 1972609204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972609204 |
| Entity Type | Organization |
| Organization Name | CAROLINA NEUROPSYCHOLOGICAL SERVICE, INC |
| Practice Address |
1540 Sunday Dr Suite 200 Raleigh NC 27607-6000 |
| Practice Telephone | 9198599040 |
| Practice Fax Number | 9198599030 |
| Mailing Telephone | 9198599040 |
| Mailing Fax Number | 9198599030 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT LAKE CONDER JR. (PRESIDENT) |
| Authorized Official Telephone | 9198599040 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0111 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1540 SUNDAY DR SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495905 | Dennis E Bullard | Specialist | 1540 Sunday Dr, Ste 214, Raleigh, NC 27607-6000 | 2005-05-23 |
| 1245758796 | Kristin N Jones | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2017-09-05 |
| 1639618226 | Reham Ghali | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2017-02-16 |
| 1134670193 | Triangle Neurosurgery | Specialist | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-10-14 |
| 1801243795 | Joan Swanson | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-05-20 |
| 1881052710 | Meghan Elizabeth Murphy | Nurse Practitioner | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-02-06 |
| 1619332152 | Candace Jackson Moody | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607 | 2015-12-29 |
| 1184013435 | Thinh Nguyen | Nurse Practitioner | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2015-01-09 |
| 1245650068 | Neeja Vivek Desai | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-19 |
| 1619395092 | Casey Victoria Farin | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 1639643281 | Cherish Williams | Psychologist | 9207 Baileywick Rd Ste 203, Raleigh, NC 27615-1976 | 2019-01-16 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1184172603 | Amar R Saxena | Psychologist | 1201 Ridge Trace Dr Apt 205, Raleigh, NC 27606-4373 | 2016-09-13 |
| 1063897932 | Brandon Alyn Knettel | Psychologist | 8405 Dunnington Cir, Raleigh, NC 27613-8592 | 2015-07-21 |
| 1649679077 | Megan Pierson | Psychologist | 3309 Leesville Towns Ct, Raleigh, NC 27613-3403 | 2014-08-21 |
| 1942637905 | Jacquelyn Harrison | Psychologist | 1540 Sunday Dr Ste 200, Raleigh, NC 27607-6000 | 2013-10-04 |
| 1083056352 | Kendra R. Mccarty | Psychologist | 606 Wade Ave Ste 100, Raleigh, NC 27605-1391 | 2013-07-26 |
| 1528409737 | Patricia L. Clark | Psychologist | 117 Tecumseh Ct., Raleigh, NC 27607 | 2013-07-16 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on CAROLINA NEUROPSYCHOLOGICAL SERVICE, INC.
| 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.