Provider Demographics
NPI:1154797033
Name:ALPHA NEUROBEHAVIORAL CLINIC PLLC
Entity type:Organization
Organization Name:ALPHA NEUROBEHAVIORAL CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:STEED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:910-378-7669
Mailing Address - Street 1:2501 ONSLOW DRIVE
Mailing Address - Street 2:UNIT 100 - PO BOX 7284
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-2284
Mailing Address - Country:US
Mailing Address - Phone:910-378-7669
Mailing Address - Fax:910-939-2186
Practice Address - Street 1:2501 ONSLOW DR UNIT 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5751
Practice Address - Country:US
Practice Address - Phone:910-378-7669
Practice Address - Fax:910-939-2186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty