Neuphoria NC PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEUPHORIA NC PLLC

Practice address

1221 Medical Center Dr
Wilmington, NC 28401-7306

Phone

(910) 239-0300

NPI assigned

Aug 29, 2024

Organization subpart

No

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

Authorized official

Name

Emil Ibrahim, MD

Title

Psychiatrist

Phone

(440) 781-6940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Marielle Leigh McDermott, DNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1649169145
  Medicare reassignment Care Compare group
• Megan Broadwell Winters, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1457211377
  Medicare reassignment Care Compare group
• Jennifer Danks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1336756899
  Medicare reassignment NPD
• James Hamilton Montgomery, DO

  • Psychiatry Physician
  • Harrisburg, NC
  • NPI 1447889597
  Medicare reassignment NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1245064591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017306",
            "telephone_number": "910-239-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017306",
            "telephone_number": "910-239-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUPHORIA NC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "440-781-6940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Foster Nerell, LPA
• Katherine Nethers
• Courtney Marie Netto, DNP, FNP-BC
• Christopher Michael Neuenfeldt, PSYD
• Lisa Neuhaus
• Neuphoria TMS NC, PLLC
• Charles Neuwirth, M.D.
• Lisa Nevarez
• Mary Caroline Neville, LCMHCA, LCASA
• New Carolina Chiropractic

• Psychiatry Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.