COASTAL REHABILITION ASSOCIATES
NPI 1316164775
Psychologist - Clinical in Wilmington, NC

NPI Status: Active since April 19, 2007

Contact Information

2800 ASHTON DR
SUITE 100
WILMINGTON, NC
ZIP 28412
Phone: (910) 794-8892
Fax: (910) 794-8895

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  • Organization
  • Psychologist
  • Clinical

About COASTAL REHABILITION ASSOCIATES

This page provides the complete NPI Profile along with additional information for Coastal Rehabilition Associates, a provider established in Wilmington, North Carolina operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1316164775 assigned on April 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 2564 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. Coastal Rehabilition Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Steve Walters (Administrator)

NPI
1316164775
Provider Name
COASTAL REHABILITION ASSOCIATES
Entity Type
Organization
Location Address
2800 ASHTON DR SUITE 100 WILMINGTON, NC 28412
Location Phone
(910) 794-8892
Location Fax
(910) 794-8895
Mailing Address
PO BOX 4217 WILMINGTON, NC 28406
Mailing Phone
(910) 794-8892
Mailing Fax
(910) 794-8895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2007
Last Update Date
08-22-2020
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A clinical psychologist like Coastal Rehabilition Associates assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
2564
License State
NC
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVE WALTERS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(910) 794-8892

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
017XKOTHER (01)NCBCBS GROUP
6005828MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316164775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326268714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 2 + 6 + 8 + 7 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1316164775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386787174DR. THOMAS ERIC MELIN M.D.
Individual
Neurological Surgery2800 ASHTON DR SUITE 200
WILMINGTON, NC 28412
(910) 799-2262
1770783805DR. PETER GEMELLI
Individual
Physical Medicine & Rehabilitation2800 ASHTON DR SUITE 100
WILMINGTON, NC 28412
(910) 794-8892
1851348981COASTAL REHABILITATION ASSOCIATES
Organization
Physical Medicine & Rehabilitation (Pain Medicine)2800 ASHTON DR SUITE 100
WILMINGTON, NC 28412
(910) 794-8892
1033583653SHELTON PROSTHETICS AND ORTHOTICS
Organization
Prosthetist2800 ASHTON DR 201
WILMINGTON, NC 28412
(910) 520-0163
1801198726 PAUL D THEISS PA
Individual
Physician Assistant2800 ASHTON DR 200
WILMINGTON, NC 28412
(910) 799-2262
1063801793 EILEEN LAZECKO PA-C
Individual
Physician Assistant2800 ASHTON DR
WILMINGTON, NC 28412
(910) 794-8895
1184918930 ASHLEY MASON RAHAUSER PA-C
Individual
Physician Assistant2800 ASHTON DR
WILMINGTON, NC 28412
(910) 794-8892
1538517164DR. JUSTIN MARK CAPPUZZO MD
Individual
Neurological Surgery2800 ASHTON DR
WILMINGTON, NC 28412
(910) 799-2262
1316203995 GEOFFREY PAUL STRICSEK M.D.
Individual
Neurological Surgery2800 ASHTON DR
WILMINGTON, NC 28412
(910) 799-2262
1629952700 JAKE ROBERT SCHLEPPY PHYSICIAN ASSISTANT
Individual
Physician Assistant2800 ASHTON DR
WILMINGTON, NC 28412
(910) 799-2262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316164775, enumerated in the NPI registry as an "organization" on April 19, 2007

The provider is located at 2800 Ashton Dr Suite 100 Wilmington, Nc 28412 and the phone number is (910) 794-8892

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.