| Porters Neck Psychological Services, Pllc | |
|
8044 Market St Unit D Wilmington NC 28411-9384 | |
| (910) 686-3505 | |
| (910) 821-5116 |
| Full Name | Porters Neck Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8044 Market St Unit D, Wilmington, North Carolina |
| Authorized Official Name and Position | Sonya Seguin (MANAGER) |
| Authorized Official Contact | 9106863505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porters Neck Psychological Services, Pllc 8044 Market St Unit D Wilmington NC 28411-9384 Ph: (910) 686-3505 | Porters Neck Psychological Services, Pllc 8044 Market St Unit D Wilmington NC 28411-9384 Ph: (910) 686-3505 |
| NPI Number | 1265750681 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Medicare PECOS PAC ID | 9931394996 |
|---|---|
| Medicare Enrollment ID | O20101116000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265750681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3488 (North Carolina) | Primary |
| Provider Name | Arlene G Gallan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215917455 PECOS PAC ID: 0345291423 Enrollment ID: I20050207000186 |
| Provider Name | Alisa Valente |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902184484 PECOS PAC ID: 1355511379 Enrollment ID: I20110831000355 |
| Provider Name | Borhan Darmal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679065536 PECOS PAC ID: 1254682909 Enrollment ID: I20230524002088 |
| Provider Name | Sonya Seguin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700270220 PECOS PAC ID: 5092900050 Enrollment ID: I20240102000070 |
| Provider Name | Sanjai Miika Olavi Dayal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689000655 PECOS PAC ID: 5092077487 Enrollment ID: I20240214004449 |
| Provider Name | Carol C Kirby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902905359 PECOS PAC ID: 1153762224 Enrollment ID: I20240507004647 |
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