Organization Active NPI

Coastal Neuropsychological Services Inc

  • Clinical Neuropsychologist
  • Wilmington, NC
National Provider Identifier
1679729503
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
COASTAL NEUROPSYCHOLOGICAL SERVICES INC
Practice address
7655 Market St
Wilmington, NC 28411-9458
Phone
(910) 681-3880
Fax
(910) 681-3885
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Christy L Jones, PH.D.
Title
Psychologist/Owner
Phone
(910) 681-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

7655 Market St
Wilmington, NC 28411-9458

Mailing address

7655 Market St
Wilmington, NC 28411-9458
Phone (910) 681-3880

National Provider Directory

National Provider Directory

Locations

7655 Market St
Wilmington, NC 28411
Phone (910) 681-3880

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1679729503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119458",
            "telephone_number": "910-681-3880",
            "fax_number": "910-681-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119458",
            "telephone_number": "910-681-3880",
            "fax_number": "910-681-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROPSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "910-681-3880",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.