Coleman Child and Family Services, P.a.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2808 Issued in NC

Legal business name

COLEMAN CHILD AND FAMILY SERVICES, P.A.

Practice address

1907 S 17TH St Ste 1
Wilmington, NC 28401-6680

Phone

(910) 343-8424

Fax

(910) 343-6989

NPI assigned

Nov 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer King Coleman, PH.D.NPI 1255314720

Title

President

Phone

(910) 343-8424

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer King Coleman, PH.D.

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1255314720
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1033390588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST STE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016680",
            "telephone_number": "910-343-8424",
            "fax_number": "910-343-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST STE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016680",
            "telephone_number": "910-343-8424",
            "fax_number": "910-343-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN CHILD AND FAMILY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-343-8424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "2808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000297",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Thaddeus Coin, M.D.
• Patrick Dennis Colbert, CRNA
• Kynlee Michelle Cole
• Mackenzie Rae Cole
• Randall Cole, PT
• Bianca Cristine Coleman
• Brian S Coleman, MA
• Elizabeth A Coleman, M.D.
• Gordon Coleman, MD
• Jeffrey R Coleman, O.D.

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.