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Organization

Coastal Horizons Center, Inc.

NPI Record: ActivePsychologist — Prescribing (Medical)
NPI1003050634
Wilmington, North Carolina

Provider's NPPES record last updated: July 20, 2011

Overview

Entity Type
Organization
NPI
1003050634
Primary Specialty
Psychologist — Prescribing (Medical)
Practice Location
Wilmington, North Carolina
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:25 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Prescribing (Medical)

    Behavioral Health & Social Service Providers

    Primary

    A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

    Taxonomy code 103TP0016X
  • Psychologist

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

    Taxonomy code 103TA0400X

Provider-Reported License Information

Psychologist (North Carolina)
MHL-065-011
Psychologist (North Carolina)
MHL-065-011
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

615 Shipyard Blvd

Wilmington, North Carolina 28412-6431

Phone: (910) 790-0187

Record Information

Enumeration Date
April 27, 2009
Provider's NPPES Record Last Updated
July 20, 2011
NPISignal NPPES Dataset
August 2026

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