NPIMap

Organization Active NPI

Worthdale Family Care

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1043346273
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
FCL-092-037 Issued in NC
Legal business name
WORTHDALE FAMILY CARE
Practice address
933 Friar Tuck Rd
Raleigh, NC 27610-3634
Phone
(919) 231-9706
Fax
(919) 212-1179
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Ms. Stella Mae Harrington
Title
Administrator
Phone
(919) 231-9706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X FCL-092-037 NC Primary

Addresses

Primary practice location

933 Friar Tuck Rd
Raleigh, NC 27610-3634

Mailing address

933 Friar Tuck Rd
Raleigh, NC 27610-3634
Phone (919) 231-9706

National Provider Directory

National Provider Directory
Tax ID family
Worthdale Family Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1043346273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 FRIAR TUCK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103634",
            "telephone_number": "919-231-9706",
            "fax_number": "919-212-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FRIAR TUCK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103634",
            "telephone_number": "919-231-9706",
            "fax_number": "919-212-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHDALE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-231-9706",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "FCL-092-037",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 20, 2008; 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.