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FAMILY WORKS PSYCHOLOGICAL CENTER NPI 1063488773


NPI Information

NPI: 1063488773
Provider Name: FAMILY WORKS PSYCHOLOGICAL CENTER
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2002 EASTWOOD ROAD
SUITE 303
WILMINGTON, NC
ZIP 28403
Phone: (910) 509-0588
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FAMILY WORKS PSYCHOLOGICAL CENTER is a clinical psychologist in Wilmington, 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. FAMILY WORKS PSYCHOLOGICAL CENTER NPI is 1063488773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2002 EASTWOOD ROAD
SUITE 303
WILMINGTON, NC
ZIP 28403
Phone: (910) 509-0588
Fax: (910) 509-0586

The provider's authorized official is Guy Toren Kashgarian .
The authorized official title is Owner/director and has the following contact phone number (910) 231-3761.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 12/11/2023.


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
1101Y00000XCounselorNORTH CAROLINANo
2101YM0800XCounselorMental Health4219NORTH CAROLINANo
3103T00000XPsychologist2612NORTH CAROLINANo
4103T00000XPsychologistNORTH CAROLINANo
5103TB0200XPsychologistCognitive & BehavioralNORTH CAROLINANo
6103TC2200XPsychologistClinical Child & Adolescent2612NORTH CAROLINANo
7103TF0000XPsychologistFamilyNORTH CAROLINANo
8103TS0200XPsychologistSchoolNORTH CAROLINANo
9104100000XSocial WorkerNORTH CAROLINANo
101041C0700XSocial WorkerClinicalNORTH CAROLINANo
11106H00000XMarriage & Family TherapistNORTH CAROLINANo
122084P0800XPsychiatry & NeurologyPsychiatryNORTH CAROLINANo
13261QM0850XClinic/CenterAdult Mental HealthNORTH CAROLINANo
14363A00000XPhysician Assistant100464NORTH CAROLINANo
15103TC0700XPsychologistClinical2550NORTH 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
16006920MEDICAIDNORTH CAROLINA
2607006600OTHERNORTH CAROLINAUS DEPT OF LABOR
35906686MEDICAIDNORTH CAROLINA
45914700MEDICAIDNORTH CAROLINA
56005231MEDICAIDNORTH CAROLINA
6015EAOTHERNORTH CAROLINABCBS
75913436MEDICAIDNORTH CAROLINA
86005196MEDICAIDNORTH 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.