NC Center for Autistic Women and Girls

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

NC CENTER FOR AUTISTIC WOMEN AND GIRLS

Practice address

6011 Fayetteville Rd Ste 106
Durham, NC 27713-6248

Phone

(919) 228-8276

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Elizabeth Goldblum, PHD

Title

Evaluator

Phone

(505) 227-1325

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Megan Bergeron, CRC

  • Rehabilitation Counselor
  • Durham, NC
  • NPI 1811882699
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1043049059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136248",
            "telephone_number": "919-228-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136248",
            "telephone_number": "919-228-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC CENTER FOR AUTISTIC WOMEN AND GIRLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "GOLDBLUM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EVALUATOR",
        "authorized_official_telephone_number": "505-227-1325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amna Nawaz, MD
• Rahul Uday Nayak, MD
• Jennifer Camille Naylor, PHD
• Tabinda Nazir, MD
• NC Behavioral Health and Counseling Services
• NC Children'S Voice Center
• NC Chiropractic 01 Inc
• NC Christian Counselor
• NC DHHS Child and Family Well-Being
• NC Premier Medical Transport LLC

• Developmental Disabilities Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Developmental Disabilities Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.