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ENVISION BEHAVIORAL HEALTH PLLC
NPI 1689165508
Psychiatry & Neurology - Psychiatry in Clemmons, NC

Active since May 25, 2018
2554 LEWISVILLE CLEMMONS RD STE 207, CLEMMONS, NC 27012(304) 617-4337(339) 207-0143 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2020, May 25, 2018 (2 updates tracked since 2018).

About Envision Behavioral Health Pllc NPPES

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

ENVISION BEHAVIORAL HEALTH PLLC (NPI 1689165508) is a healthcare organization registered as a psychiatry in Clemmons, North Carolina and active in the NPI registry since May 2018. The organization lists Jessica Cipoletti Derreberry, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1689165508
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameENVISION BEHAVIORAL HEALTH PLLC
Location Address2554 LEWISVILLE CLEMMONS RD STE 207Clemmons, NC 27012-9752
Mailing Address100 Stadium Oaks Dr Ste BClemmons, NC 27012-8961
Phone(304) 617-4337
Fax(339) 207-0143
Organization SubpartNo
Authorized OfficialJessica Cipoletti DerreberryManaging Member · (304) 617-4337
Enumeration DateMay 25, 2018
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1689165508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2016-01870
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2554 LEWISVILLE CLEMMONS RD STE 207, Clemmons, NC 27012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. TODD MICHAEL DERREBERRY M.D.
Psychiatry & Neurology (Psychiatry)
2554 LEWISVILLE CLEMMONS RD STE 207
CLEMMONS, NC 27012
Forsyth County (336) 223-8220

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 Envision Behavioral Health PLLC's NPI number?

The NPI number for Envision Behavioral Health PLLC is 1689165508. It was assigned to this organization in the NPPES registry on May 25, 2018.

Where is Envision Behavioral Health PLLC located?

Envision Behavioral Health PLLC is located at 2554 Lewisville Clemmons Rd Ste 207, Clemmons, NC 27012. The listed phone number is (304) 617-4337.

What is Envision Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Envision Behavioral Health PLLC was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.