COASTAL HORIZONS CENTER, INC.
NPI 1003050634
Psychologist - Prescribing (Medical) in Wilmington, NC
NPI Status: Active since April 27, 2009
Contact Information
615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 790-0187
Fax: (910) 790-0189
- Organization
- Psychologist
- Prescribing (Medical)
- CLIA Number: 34D2017226
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-06-2026
About COASTAL HORIZONS CENTER, INC.
This page provides the complete NPI Profile along with additional information for Coastal Horizons Center, Inc., a provider established in Wilmington, North Carolina operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1003050634 assigned on April 2009. The practitioner's primary taxonomy code is 103TP0016X with license number MHL-065-011 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. Coastal Horizons Center, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Margaret Weller Stargell (President & Ceo)
- NPI
- 1003050634
- Provider Name
- COASTAL HORIZONS CENTER, INC.
- Entity Type
- Organization
- Location Address
- 615 SHIPYARD BLVD WILMINGTON, NC 28412
- Location Phone
- (910) 790-0187
- Location Fax
- (910) 790-0189
- Mailing Address
- 615 SHIPYARD BLVD WILMINGTON, NC 28412
- Mailing Phone
- (910) 790-0187
- Mailing Fax
- (910) 790-0189
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2009
- Last Update Date
- 07-20-2011
- Code Navigator
Location Map
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 Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MHL-065-011
- License State
- NC
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | MHL-065-011 (NC) |
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 5900561 | MEDICAID (05) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2017226
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 07, 2024
- Certificate Expiration Date
- December 06, 2026
- Laboratory Director
- JENNIFER M. NOMIDES
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Coastal Horizons Center, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003050634, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WILMINGTON, NC 28412
WILMINGTON, NC 28412
WILMINGTON, NC 28412
WILMINGTON, NC 28412
WILMINGTON, NC 28412
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003050634, enumerated as an "organization" on April 27, 2009.
The provider is located at 615 SHIPYARD BLVD WILMINGTON, NC 28412 and the phone number is (910) 790-0187.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
