| Family Works Psychological Center | |
|
2002 Eastwood Road Suite 303 Wilmington NC 28403 | |
| (910) 509-0588 | |
| (910) 509-0586 |
| Full Name | Family Works Psychological Center |
|---|---|
| Speciality | Psychologist |
| Location | 2002 Eastwood Road, Wilmington, North Carolina |
| Authorized Official Name and Position | Guy Toren Kashgarian (OWNER/DIRECTOR) |
| Authorized Official Contact | 9102313761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Works Psychological Center 2002 Eastwood Road Suite 303 Wilmington NC 28403 Ph: (910) 231-3761 | Family Works Psychological Center 2002 Eastwood Road Suite 303 Wilmington NC 28403 Ph: (910) 509-0588 |
| NPI Number | 1063488773 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 9335134220 |
|---|---|
| Medicare Enrollment ID | O20040419001628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063488773 | NPI | - | NPPES |
| 6006920 | Medicaid | NC | |
| 607006600 | Other | NC | US DEPT OF LABOR |
| 5906686 | Medicaid | NC | |
| 5914700 | Medicaid | NC | |
| 6005231 | Medicaid | NC | |
| 015EA | Other | NC | BCBS |
| 5913436 | Medicaid | NC | |
| 6005196 | Medicaid | NC |
| Provider Name | Guy T Kashgarian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649326422 PECOS PAC ID: 2567456163 Enrollment ID: I20040419001759 |
| Provider Name | Sharon C Mumford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619084035 PECOS PAC ID: 9335245562 Enrollment ID: I20070504000443 |
| Provider Name | Denise L Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952422685 PECOS PAC ID: 2163573221 Enrollment ID: I20090630000641 |
| Provider Name | Ellen Brubeck Brogden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184706830 PECOS PAC ID: 7416146089 Enrollment ID: I20110112001025 |
| Provider Name | Katherine A Walls Lindsay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851530893 PECOS PAC ID: 3173779881 Enrollment ID: I20120813000661 |
| Provider Name | Lindsay Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811245947 PECOS PAC ID: 1456509629 Enrollment ID: I20120912000636 |
| Provider Name | Gail P Bieber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518014505 PECOS PAC ID: 3072739846 Enrollment ID: I20140731000932 |
| Provider Name | Jannie Renee Engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093205429 PECOS PAC ID: 3375898166 Enrollment ID: I20180619002719 |
| Provider Name | Chae W Kwak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174773246 PECOS PAC ID: 1658603154 Enrollment ID: I20191104000533 |
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