Positively Psyched

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POSITIVELY PSYCHED

Practice address

2680 US Highway 70
Mebane, NC 27302-9095

Phone

(336) 639-8990

Fax

(336) 639-7266

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Shane Allan DoveNPI 1336916055

Title

Owner and Business Director

Phone

(336) 639-8990

Specialties & licenses 1

Addresses

Other names 1

• POSITIVELY PSYCHED Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Allan Dove

  • Community/Behavioral Health Agency
  • Mebane, NC
  • NPI 1336916055
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1013784727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 US HIGHWAY 70",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029095",
            "telephone_number": "336-639-8990",
            "fax_number": "336-639-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 US HIGHWAY 70",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029095",
            "telephone_number": "336-639-8990",
            "fax_number": "336-639-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVELY PSYCHED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER AND BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "336-639-8990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POSITIVELY PSYCHED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Elizabeth Pertschi, PHARMD
• Alexander Moore Pettus, MS, LCMHCA, NCC
• Hieu D Pham, PHARM.D
• Meredith Pope, LPC
• Brian Todd Posey
• Positively Psyched LLC
• Kimberley Yvette Poteat, COTA
• Mychal Kelly Powell, PA-C
• Presbyterian Home of Hawfields Inc
• Erich Freywald Priest, MSW, LCSW

• Community/Behavioral Health Agency in Mebane, NC
• Providers in Mebane, 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 Dec 4, 2023; 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.