NPIMap

Organization Active NPI

Exigin Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1033538285
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
103165 Issued in NC
Legal business name
EXIGIN BEHAVIORAL HEALTH, LLC
Practice address
1006 W H Smith Blvd Ste B
Greenville, NC 27834-5194
Phone
(252) 907-8690
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Selwyn George Daniel, PA-C
Title
Owner
Phone
(252) 907-8690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 103165 NC Primary

Addresses

Primary practice location

1006 W H Smith Blvd Ste B
Greenville, NC 27834-5194

Mailing address

1105 Spring Forest Dr
Rocky Mount, NC 27803-1414
Phone (252) 907-8690

National Provider Directory

National Provider Directory
Tax ID family
Exigin Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1006 W H Smith Blvd
Ste B
Greenville, NC 27834
Phone (252) 907-8690

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1033538285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SPRING FOREST DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031414",
            "telephone_number": "252-907-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W H SMITH BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345194",
            "telephone_number": "252-907-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXIGIN BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "SELWYN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-907-8690",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "103165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.