NPIMap

Organization Active NPI

Therapeutic Connections, Inc

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1013248418
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THERAPEUTIC CONNECTIONS, INC
Practice address
343 E Six Forks Rd
Suite 190
Raleigh, NC 27609-7800
Phone
(919) 783-8080
Fax
(919) 821-4104
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Mrs. Allesha McKoy
Title
Executive Director
Phone
(919) 389-9906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

343 E Six Forks Rd
Suite 190
Raleigh, NC 27609-7800

Mailing address

343 E Six Forks Rd
Suite 190
Raleigh, NC 27609-7800
Phone (919) 783-8080

Other identifiers 2

IdentifierTypeStateIssuer
6005665MedicaidNC
8300196MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic Connections Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

343 E Six Forks Rd
Ste 190
Raleigh, NC 27609
Phone (919) 783-8080

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1013248418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E SIX FORKS RD",
            "address_2": "SUITE 190",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097800",
            "telephone_number": "919-783-8080",
            "fax_number": "919-821-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E SIX FORKS RD",
            "address_2": "SUITE 190",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097800",
            "telephone_number": "919-783-8080",
            "fax_number": "919-821-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CONNECTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "ALLESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-389-9906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005665",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300196",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.