DR. STEPHEN SEALS ELLIOTT PHD
NPI 1417009937
Psychologist in Wilmington, NC

Active since January 17, 2007PECOS Enrolled
3205 RANDALL PKWY STE 105, WILMINGTON, NC 28403(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stephen Seals Elliott Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN SEALS ELLIOTT PHD (NPI 1417009937) is an individual psychologist in Wilmington, North Carolina and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417009937
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEPHEN SEALS ELLIOTTCredential: PHD
Location Address3205 RANDALL PKWY STE 105Wilmington, NC 28403-2565
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 742-9243 · Fax (888) 746-1787
Fax(888) 746-1787
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJanuary 30, 2019
NPI 1417009937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1010 (NC)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 1010 (NC)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 283 (NC)
3205 RANDALL PKWY STE 105, Wilmington, NC 28403

Other Identifiers 2

OtherP01126726NC · Rr Medicare
Medicaid6000042NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stephen Seals Elliott Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Elliott's NPI number?

The NPI number for Stephen Elliott is 1417009937. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Stephen Elliott located?

Stephen Elliott practices at 3205 Randall Pkwy Ste 105, Wilmington, NC 28403. The listed phone number is (910) 742-9243.

What is Stephen Elliott's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stephen Elliott enrolled in Medicare?

Yes. Stephen Elliott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Elliott was last updated on January 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.