Mental Health Associates of the Triad

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENTAL HEALTH ASSOCIATES OF THE TRIAD

Practice address

910 Mill Ave
High Point, NC 27260-1628

Phone

(336) 822-2827

Fax

(336) 883-4015

NPI assigned

Mar 21, 2007

Last updated

Jan 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary D Davis

Title

Intake Coordinator

Phone

(336) 822-2827

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Mental Health Associates of the Triad3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mental Health Assn of NC - High Point

  dba High Point Mental Health Assn.

  • Community/Behavioral Health Agency
  • High Point, NC
  • NPI 1174753099
  NPD tax ID
• Mental Health Associates of the Triad

  • Community/Behavioral Health Agency
  • High Point, NC
  • NPI 1710002456
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justina Anulika Okonkwo, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • High Point, NC
  • NPI 1194228205
  Medicare reassignment Care Compare group NPD
• Natalie Denise Yates, LCSW

  • Clinical Social Worker
  • Kernersville, NC
  • NPI 1235441130
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1013032416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5693",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272625693",
            "telephone_number": "336-822-2827",
            "fax_number": "336-883-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MILL AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272601628",
            "telephone_number": "336-822-2827",
            "fax_number": "336-883-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATES OF THE TRIAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "INTAKE COORDINATOR",
        "authorized_official_telephone_number": "336-822-2827",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300749",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300749S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Leonard Menius, D.D.S.
• Max E Menius Jr., CSAC
• Shaunda L Menke, DPT
• Radha Vankawala Menon, M.D.
• Mental Health Assn of NC - High Point (High Point Mental Health Assn.)
• Mental Health Associates of the Triad
• Onchuru Metobo
• James Meuth, DPT
• Carol Anne Meyers, M.ED. , CCC/SP
• Jay Benjamin Michael, MD

• Community/Behavioral Health Agency in High Point, NC
• Providers in High Point, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.