| Fayetteville Neuropsychology Pllc | |
|
2931 Breezewood Ave Ste 100 Fayetteville NC 28303-5281 | |
| (910) 677-0000 | |
| (910) 677-0099 |
| Full Name | Fayetteville Neuropsychology Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2931 Breezewood Ave Ste 100, Fayetteville, North Carolina |
| Authorized Official Name and Position | Robert R Gamble (OFFICE MANAGER) |
| Authorized Official Contact | 9106770000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Neuropsychology Pllc 2931 Breezewood Ave Ste 100 Fayetteville NC 28303-5281 Ph: (910) 677-0000 | Fayetteville Neuropsychology Pllc 2931 Breezewood Ave Ste 100 Fayetteville NC 28303-5281 Ph: (910) 677-0000 |
| NPI Number | 1053830315 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Medicare PECOS PAC ID | 4385910686 |
|---|---|
| Medicare Enrollment ID | O20171031002002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053830315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1853 (North Carolina) | Primary |
| Provider Name | Elizabeth Ann Gamble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093716672 PECOS PAC ID: 3779565098 Enrollment ID: I20040602000205 |
| Provider Name | Carolie T Atherton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134316342 PECOS PAC ID: 3375588767 Enrollment ID: I20080429000893 |
| Provider Name | Aaron A Brodsky |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1184694481 PECOS PAC ID: 4183672348 Enrollment ID: I20190829001672 |
| Provider Name | Victoria Lynn Mans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114440807 PECOS PAC ID: 7517297039 Enrollment ID: I20190926001372 |
| Provider Name | Wakeelah T Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992041974 PECOS PAC ID: 7618380197 Enrollment ID: I20201229002351 |
| Provider Name | Katrina Louise Moss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346497500 PECOS PAC ID: 6002159266 Enrollment ID: I20210506000232 |
| Provider Name | Michael Francis Nash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932746385 PECOS PAC ID: 7517351927 Enrollment ID: I20220301002071 |
| Provider Name | Madeline A Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720714512 PECOS PAC ID: 2769854322 Enrollment ID: I20230207002858 |
| Provider Name | Martinek Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891037107 PECOS PAC ID: 2961641790 Enrollment ID: I20230503003334 |
| Provider Name | Jenny Lee Finlan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982149803 PECOS PAC ID: 2769826379 Enrollment ID: I20240221003757 |
Securehands Behavioral Health Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Arlington Ave, Fayetteville, NC 28303 Phone: 910-987-9430 Fax: 910-868-6181 | |
Mid-south Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Hope Mills Rd, Fayetteville, NC 28304 Phone: 757-541-4816 | |
A Work In Progress Therapies, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Bingham Dr, Fayetteville, NC 28304 Phone: 910-483-8713 Fax: 910-483-0962 | |
Nc Therapy And Counseling Services Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Arsenal Ave Ste B, Fayetteville, NC 28305 Phone: 910-263-5475 | |
Johari Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Whitfield St, Fayetteville, NC 28306 Phone: 910-897-3000 | |
Catholic Charities Of The Diocese Of Raleigh, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2712 Fort Bragg Rd, Fayetteville, NC 28303 Phone: 910-424-2020 | |
Carolina Children Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7712 N Ancon Dr, Fayetteville, NC 28304 Phone: 910-778-8125 |