Danielle Atkinson, PSY.D.
Individual provider Active NPI Clinical Psychologist · Wilmington, NC
NPI 1669788907 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1669788907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3967 (NC)
- Practice address
- 311-4E Judges Rd
Wilmington, NC 28405-3655 - Phone
- (910) 791-6767
- Fax
- (910) 791-6890
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3967 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Act Medical Group, PA | Past | Accepting new patients | |
| Act Medical Group PA | Past | Accepting new patients | |
| Alloway Consulting, P.L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3967 | NC | Yes |
Addresses
Primary practice location
311-4E Judges Rd
Wilmington, NC 28405-3655
Mailing address
311-4E Judges Rd
Wilmington, NC 28405-3655
Phone (910) 791-6767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001232 | Medicaid | NC |
Other names
- Danielle Selvaggio
Other providers in Wilmington, NC
- Associates in Gynecology
- Assured Care
- Natalie Atento
- Atkins Family Practice PA
- Lisa Kay Atkins
- Morgan La Neice Atkinson
- Wendy Laura Atkinson
- Atlantic Brain and Spine, P.a.
- Atlantic Chiropractic Clinic
- Atlantic Coast Chiropractic
All providers in Wilmington, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.