Provider Type Icon

EAST CAROLINA NEUROLOGY NPI 1548582596


NPI Information

NPI: 1548582596
Provider Name: EAST CAROLINA NEUROLOGY
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2280 HEMBY LN
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-4848
Get Directions

EAST CAROLINA NEUROLOGY is a clinical psychologist in Greenville, NC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. EAST CAROLINA NEUROLOGY NPI is 1548582596. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2280 HEMBY LN
GREENVILLE, NC
ZIP 27834-773
Phone: (252) 752-4848
Fax: (252) 752-9607

The provider's authorized official is Robin B Avery .
The authorized official title is Administrative Assistant and has the following contact phone number (252) 752-4848.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 2/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist2646NORTH CAROLINANo
2103G00000XClinical Neuropsychologist1188NORTH CAROLINANo
3103TC0700XPsychologistClinical1188NORTH CAROLINANo
4103TC0700XPsychologistClinical2646NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16005989MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.