Gail Debose Georgescu, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23S9 Issued in NC

Practice address

1703 Country Club Rd
Ste 204 Carolina Psychological Health Services
Jacksonville, NC 28546-6006

Phone

(910) 347-3010

Fax

(910) 347-0740

NPI assigned

Aug 23, 2006

Last updated

May 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sheila Gail Debose Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolina Psychological and Psychiatric Health SRVS, PA

  dba Carolina Psychological Health Services

  • Psychologist
  • Jacksonville, NC
  • NPI 1770561193
  NPD (past)
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1780791350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "STE 204 CAROLINA PSYCHOLOGICAL HEALTH SERVICES",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466006",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "STE 204 CAROLINA PSYCHOLOGICAL HEALTH SERVICES",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466006",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGESCU",
        "first_name": "GAIL",
        "middle_name": "DEBOSE",
        "name_prefix": "Mrs.",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "23S9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "DEBOSE",
            "middle_name": "GAIL",
            "prefix": "MS.",
            "credential": "LPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Generations Family Practice, PA (Andre KS Tse MD)
• Genesis Therapeutic Services, Inc.
• Shelby Gentry
• Thomas Harrison Gentry III, IDC
• George a Howard, III MD (Onslow Radiology Center)
• Rachel Lynn Gernert, LMFT
• Jennifer Paige Gerst, DOT, OTR/L
• Nancy Ghali, PH.D.
• Julie Anne Ghormley, DPT
• Kristina Giampa, LMBT

• Psychologist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.