Phyd, Inc. (Pretty Homes Youth Development)

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-092-537 Issued in NC

Legal business name

PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT)

Practice address

1611 Poole Rd
Raleigh, NC 27610-2658

Phone

(919) 713-0035

Fax

(919) 713-0034

NPI assigned

Oct 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Andrea Pretty

Title

President

Phone

(919) 633-7800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Destiny Homes of PHYD, Inc. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1003005240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20181",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276190181",
            "telephone_number": "919-633-7800",
            "fax_number": "919-713-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POOLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102658",
            "telephone_number": "919-713-0035",
            "fax_number": "919-713-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYD, INC. (PRETTY HOMES YOUTH DEVELOPMENT)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "PRETTY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-633-7800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-092-537",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-092-491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604280",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603862",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destiny Homes of PHYD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashley N Phykitt, MSW
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• Physicians Lab Consultants
• Phytcare LLC
• Phytcare LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.