| Triangle Neuropsychology Services, Pllc | |
|
3310 Croasdaile Dr Suite 400 Durham NC 27705-6806 | |
| (919) 384-9682 | |
| (919) 384-9683 |
| Full Name | Triangle Neuropsychology Services, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3310 Croasdaile Dr, Durham, North Carolina |
| Authorized Official Name and Position | Kristine Marie Herfkens (OWNER) |
| Authorized Official Contact | 9193849682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Neuropsychology Services, Pllc 3310 Croasdaile Dr Suite 400 Durham NC 27705-6806 Ph: (919) 384-9682 | Triangle Neuropsychology Services, Pllc 3310 Croasdaile Dr Suite 400 Durham NC 27705-6806 Ph: (919) 384-9682 |
| NPI Number | 1689625386 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 02/25/2015 |
| Medicare PECOS PAC ID | 3173522901 |
|---|---|
| Medicare Enrollment ID | O20061205000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689625386 | NPI | - | NPPES |
| 5648716 | Other | NC | AETNA |
| 6000514 | Medicaid | NC | |
| 974898 | Other | NC | FIRST HEALTH |
| 0376X | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2192 (North Carolina) | Primary |
| Provider Name | Kristine M Herfkens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023104254 PECOS PAC ID: 1951300763 Enrollment ID: I20061205000319 |
| Provider Name | Bret A Booth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578714846 PECOS PAC ID: 5193885580 Enrollment ID: I20081114000399 |
| Provider Name | Michael F Zelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881638211 PECOS PAC ID: 9032304118 Enrollment ID: I20101115000919 |
| Provider Name | Anastasia Nicole Finch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457783615 PECOS PAC ID: 4587096748 Enrollment ID: I20191111000318 |
| Provider Name | Anne C Boothe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114646205 PECOS PAC ID: 5193100279 Enrollment ID: I20220912000737 |
| Provider Name | Jesse A Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467972000 PECOS PAC ID: 6103202718 Enrollment ID: I20221005002826 |
| Provider Name | Jacqueline M Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285296020 PECOS PAC ID: 2466829577 Enrollment ID: I20221102002234 |
| Provider Name | Monica Rosado Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265114425 PECOS PAC ID: 4880043876 Enrollment ID: I20231215002797 |
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