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EAST CAROLINA UNIVERSITY NPI 1760507990


NPI Information

NPI: 1760507990
Provider Name: EAST CAROLINA UNIVERSITY

Doing Business As: CHILDREN'S DEVELOPMENTAL SERVICES AGENCY

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
IRONS BUILDING-OGLESBY DR.
GREENVILLE, NC
ZIP 27858
Phone: (252) 737-1177
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EAST CAROLINA UNIVERSITY is a psychologist in Greenville, NC. The provider is 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. EAST CAROLINA UNIVERSITY NPI is 1760507990. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Developmental Services Agency.

The provider's business location address is:

IRONS BUILDING-OGLESBY DR.
GREENVILLE, NC
ZIP 27858
Phone: (252) 737-1177
Fax: (252) 328-4486

The provider's authorized official is Gary Judson Stainback .
The authorized official title is Director Cosa and has the following contact phone number (252) 737-1167.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/17/2008.


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
1104100000XSocial WorkerNo
2133N00000XNutritionistNo
3163W00000XRegistered NurseNo
4171M00000XCase Manager/Care CoordinatorNo
52080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
62080P0008XPediatricsNeurodevelopmental DisabilitiesNo
7225100000XPhysical TherapistNo
8225CA2400XRehabilitation CounselorAssistive Technology PractitionerNo
9225X00000XOccupational TherapistNo
10231H00000XAudiologistNo
11235Z00000XSpeech-Language PathologistNo
12363A00000XPhysician AssistantNo
13103T00000XPsychologistYes

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
13403406MEDICAIDNORTH CAROLINA
203411OTHERNORTH CAROLINABCBS

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

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