Coastal Neurotherapy, P.A.
NPI 1528353729 · Clinical Neuropsychologist · Jacksonville, NC
Coastal Neurotherapy, P.A. is a Clinical Neuropsychologist organization in Jacksonville, NC (NPI 1528353729).
Provider details
- NPI number
- 1528353729
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- David Hagedorn, President/Owner(910) 353-1760
- License
- 3745 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-15
- Last updated
- 2011-06-15
Frequently asked questions
- What is Coastal Neurotherapy, P.A.'s NPI number?
- Coastal Neurotherapy, P.A.'s National Provider Identifier (NPI) is 1528353729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Neurotherapy, P.A.?
- Coastal Neurotherapy, P.A. is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Coastal Neurotherapy, P.A. located?
- Coastal Neurotherapy, P.A.'s practice location on file with NPPES is 200 Valencia Dr, Jacksonville, NC 28546-6311.
- What is Coastal Neurotherapy, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Coastal Neurotherapy, P.A. is (910) 353-1760.
- Who is the authorized official for Coastal Neurotherapy, P.A.?
- The authorized official listed on Coastal Neurotherapy, P.A.'s NPPES record is David Hagedorn, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Neurotherapy, P.A.'s NPI active?
- Yes — Coastal Neurotherapy, P.A.'s NPI (1528353729) is active in the NPPES registry as of the last update on 2011-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.