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TRI-CARE, PA
NPI 1558477257
Psychologist - Clinical Child & Adolescent in Winston Salem, NC

Active since August 23, 2006
1702 S HAWTHORNE RD, WINSTON SALEM, NC 27103(336) 659-8301(336) 659-9361 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri-care, Pa NPPES

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

TRI-CARE, PA (NPI 1558477257) is a healthcare organization registered as a clinical child & adolescent in Winston Salem, North Carolina and active in the NPI registry since August 2006. The organization lists Debbie N. Harrison-church, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1558477257
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameTRI-CARE, PA
Location Address1702 S HAWTHORNE RDWinston Salem, NC 27103-4016
Mailing Address1702 S Hawthorne RdWinston Salem, NC 27103-4016 · (336) 659-8301 · Fax (336) 659-9361
Phone(336) 659-8301
Fax(336) 659-9361
Organization SubpartNo
Authorized OfficialDebbie N. Harrison-churchPractice Manager · (336) 659-8301
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1558477257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1702 S HAWTHORNE RD, Winston Salem, NC 27103
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Other Identifiers 1

Other0204WNC · Bluecrossblueshieldgrp#

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 3

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

CHRISTOPHER I SHEAFFER PH.D.
Psychologist (Clinical Child & Adolescent)
1702 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 659-8301
DR. STEPHEN JAMES MCCULLOUGH PSY.D.
Psychologist (Clinical Child & Adolescent)
1702 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 659-8301
ANGELA DE VARONA PH.D.
Psychologist (Clinical Child & Adolescent)
1702 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 659-8301

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 Tri-Care, PA's NPI number?

The NPI number for Tri-Care, PA is 1558477257. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Tri-Care, PA located?

Tri-Care, PA is located at 1702 S Hawthorne Rd, Winston Salem, NC 27103. The listed phone number is (336) 659-8301.

What is Tri-Care, PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Tri-Care, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.