COASTAL NEUROTHERAPY, P.A.
NPI 1528353729
Clinical Neuropsychologist in Jacksonville, NC

Q: What is Coastal Neurotherapy, P.A.'s NPI number?

The NPI number for Coastal Neurotherapy, P.A. is 1528353729. It was assigned to this organization in the NPPES registry on June 15, 2011.

Q: What is Coastal Neurotherapy, P.A.'s specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since June 15, 2011

200 VALENCIA DR, SUITE 109, JACKSONVILLE, NC 28546(910) 353-1760 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coastal Neurotherapy, P.a. NPPES

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

COASTAL NEUROTHERAPY, P.A. (NPI 1528353729) is a healthcare organization registered as a clinical neuropsychologist in Jacksonville, North Carolina and active in the NPI registry since June 2011. The organization lists David Hagedorn, President/owner, as its authorized official.

NPPES Registry Identity

NPI1528353729

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameCOASTAL NEUROTHERAPY, P.A.

Location Address200 VALENCIA DR, SUITE 109Jacksonville, NC 28546-6311

Mailing Address200 Valencia Dr, Suite 109Jacksonville, NC 28546-6311

Phone(910) 353-1760

Organization SubpartNo

Authorized OfficialDavid HagedornPresident/owner · (910) 353-1760

Enumeration DateJune 15, 2011

✔ NPI 1528353729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NC · 3745

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

200 VALENCIA DR, Jacksonville, NC 28546

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SUMMER MONZON

Behavior Technician

200 VALENCIA DR
JACKSONVILLE, NC 28546

Onslow County (866) 727-8274

MRS. BARBARA SUE HILL MSW LCSW

Social Worker (Clinical)

200 VALENCIA DR, SUITE 108
JACKSONVILLE, NC 28546

Onslow County (910) 346-9000

AYLA GEARHART

Behavior Technician

200 VALENCIA DR
JACKSONVILLE, NC 28546

Onslow County (252) 341-4192

KIM MORREALE

Behavior Technician

200 VALENCIA DR
JACKSONVILLE, NC 28546

Onslow County (252) 341-4192

A STEP ABOVE THERAPEUTIC SERVICES, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

200 VALENCIA DR, SUITE 127
JACKSONVILLE, NC 28546

Onslow County (910) 938-1300

RENE WHITAKER

Behavior Technician

200 VALENCIA DR
JACKSONVILLE, NC 28546

Onslow County (252) 341-4192

JORDAN KLEIN

Behavior Technician

200 VALENCIA DR
JACKSONVILLE, NC 28546

Onslow County (252) 341-4192

JAISHA ELDRIDGE

Behavior Technician

200 VALENCIA DR
JACKSONVILLE, NC 28546

Onslow County (252) 341-4192

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 Coastal Neurotherapy, P.A.'s NPI number?

The NPI number for Coastal Neurotherapy, P.A. is 1528353729. It was assigned to this organization in the NPPES registry on June 15, 2011.

Where is Coastal Neurotherapy, P.A. located?

Coastal Neurotherapy, P.A. is located at 200 Valencia Dr Suite 109, Jacksonville, NC 28546. The listed phone number is (910) 353-1760.

What is Coastal Neurotherapy, P.A.'s specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Coastal Neurotherapy, P.A. was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.