DR. WAYNE M SOTILE PH.D. NPI 1285677971

Psychologist (Clinical) in Winston-salem, NC

Individual Male Psychologist Clinical

About WAYNE SOTILE

Wayne Sotile is a provider established in Winston-salem, North Carolina and his medical specialization is psychologist. The NPI number of Wayne Sotile is 1285677971 and was assigned on June 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 0776 (NC). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI

1285677971

Provider NameDR. WAYNE M SOTILE PH.D.
Provider Location AddressSOTILE PSYCHOLOGICAL ASSOCIATES, PLLC 1396 OLD MILL CIRCLE WINSTON-SALEM, NC 27103
Provider Mailing Address155 SAINT CHARLES LN MOORESVILLE, NC 28117
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date06-13-2006
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.0776
License StateNC
Taxonomy DescriptionA 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.

Business Address

DR. WAYNE M SOTILE PH.D.
SOTILE PSYCHOLOGICAL ASSOCIATES, PLLC
1396 OLD MILL CIRCLE
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 765-3032
Fax: (336) 760-6977

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Mailing Address

DR. WAYNE M SOTILE PH.D.
155 SAINT CHARLES LN
MOORESVILLE, NC
ZIP 28117
Phone: (336) 765-3032
Fax: (336) 760-6977

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.