Provider Demographics
NPI:1538334123
Name:STILLPOINT P.A
Entity type:Organization
Organization Name:STILLPOINT P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT /PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-712-3870
Mailing Address - Street 1:255 SAGES WAY
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-5711
Mailing Address - Country:US
Mailing Address - Phone:828-712-3870
Mailing Address - Fax:
Practice Address - Street 1:255 SAGES WAY
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-5711
Practice Address - Country:US
Practice Address - Phone:828-712-3870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1460251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000025Medicaid
NC2819916Medicare UPIN