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JENNIFER COOKE STAAT PH.D. NPI 1902883119


NPI Information

NPI: 1902883119
Provider Name: JENNIFER COOKE STAAT, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
4608 CEDAR AVE
SUITE 106
WILMINGTON, NC
ZIP 28403
Phone: (910) 547-3093
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Jennifer Cooke Staat, PH.D. is a psychologist in Wilmington, 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. Jennifer Cooke Staat, PH.D. NPI is 1902883119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4608 CEDAR AVE
SUITE 106
WILMINGTON, NC
ZIP 28403-419
Phone: (910) 547-3093

The enumeration date for this NPI number is 12/29/2005 and was last updated on 10/30/2007.


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
1103T00000XPsychologist2505NORTH 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
1240133OTHERNORTH CAROLINACOMPSYCH
22819849AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
3046K0OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
4NCMC034119OTHERNEW YORKVALUE OPTIONS
5D6590OTHERNORTH CAROLINAMEDCOST
66000577MEDICAIDNORTH 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.