Colony Behavioral Health Group PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COLONY BEHAVIORAL HEALTH GROUP PLLC

Practice address

2807 Neuse Blvd
Ste 3
New Bern, NC 28562-2815

Phone

(252) 636-0112

Fax

(252) 634-9778

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Bethanne T Jacobson, PHDNPI 1396724936

Title

Owner

Phone

(252) 636-0112

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Bethanne Thumm Jacobson, PH.D.

  • Psychologist
  • New Bern, NC
  • NPI 1396724936
  NPD (past) Authorized official
• Henry D. Beckwith, PSYD

  • Clinical Psychologist
  • New Bern, NC
  • NPI 1154354462
  NPD (past)
• William Andrew Seman, PH.D.

  • Clinical Psychologist
  • Trent Woods, NC
  • NPI 1265411235
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1306197629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 NEUSE BLVD",
            "address_2": "STE 3",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622815",
            "telephone_number": "252-636-0112",
            "fax_number": "252-634-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 NEUSE BLVD",
            "address_2": "STE 3",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622815",
            "telephone_number": "252-636-0112",
            "fax_number": "252-634-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY BEHAVIORAL HEALTH GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "BETHANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-636-0112",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adia Coleman, RD, LDN
• Coles Chiropractic Center, PLLC
• Nathan Lewis Coles Sr., D.C.
• Emily Elizabeth Collard, AMFT
• Eja Collins
• Paige Colyer
• Community Hospice, LLC
• Community Innovations, Inc.
• Community Innovations, Inc.
• Compass for Life, LLC

• Clinical Psychologist in New Bern, NC
• Providers in New Bern, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.