| Bay Area Psychology Associates, Pllc | |
|
2457 Gum Branch Rd Ste 800 Jacksonville NC 28540-4008 | |
| (910) 238-2774 | |
| (910) 387-0757 |
| Full Name | Bay Area Psychology Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2457 Gum Branch Rd Ste 800, Jacksonville, North Carolina |
| Authorized Official Name and Position | Allison Brooks (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9105815352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Psychology Associates, Pllc 2457 Gum Branch Rd Ste 800 Jacksonville NC 28540-4008 Ph: (910) 238-2774 | Bay Area Psychology Associates, Pllc 2457 Gum Branch Rd Ste 800 Jacksonville NC 28540-4008 Ph: (910) 238-2774 |
| NPI Number | 1629499819 |
|---|---|
| Provider Enumeration Date | 12/14/2013 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Medicare PECOS PAC ID | 5294126199 |
|---|---|
| Medicare Enrollment ID | O20220104001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629499819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Tobi Nobbs Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174772230 PECOS PAC ID: 2365501251 Enrollment ID: I20081210000835 |
| Provider Name | Ashley Krystal Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609371053 PECOS PAC ID: 6709278963 Enrollment ID: I20220120000085 |
| Provider Name | Jaime Lynn Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316358229 PECOS PAC ID: 0749674646 Enrollment ID: I20220218000041 |
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