Active NPI
Kathleen Allyson Coman, PH.D.
- Psychologist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3549
- Practice address
- 2933 Maplewood Ave
Winston Salem, NC 27103-4009 - Phone
- (336) 802-2205
- Fax
- (336) 802-2206
- NPI assigned
- Apr 30, 2008
- Last updated
- Feb 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3549 | NC | Primary |
| Clinical Psychologist | 103TC0700X | 3549 | NC |
Addresses
Primary practice location
2933 Maplewood Ave
Winston Salem, NC 27103-4009
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331
Other names 1
- Dr. Kathleen Allyson Brennan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3549 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network LLC | Psychologist | Current | Accepting new patients |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients | |
| Cornerstone Health Care LLC | Past | Accepting new patients |
Locations
1208 Eastchester Dr
Ste 200
High Point, NC 27265
Phone (336) 501-8300
1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Atrium Health Wake Forest Baptist Behavioral Medicine - Eastchester
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- NPI 1003239096
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- Clinical Medical Laboratory
- Conover, NC
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- Statesville, NC
- NPI 1275914046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1437324456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2933 MAPLEWOOD AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034009",
"telephone_number": "336-802-2205",
"fax_number": "336-802-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMAN",
"first_name": "KATHLEEN",
"middle_name": "ALLYSON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3549",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3549",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BRENNAN",
"middle_name": "ALLYSON",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.