Organization Active NPI

Carolina Austism Institute

  • Community/Behavioral Health Agency
  • NC, NC
National Provider Identifier
1063158293
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA AUSTISM INSTITUTE
Practice address
113 G North Marine Blvd
Jacksonville
NC, NC 28540-6508
Phone
(910) 389-0901
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Jane B Williams, MA-ED
Title
President
Phone
(910) 389-0901

Specialties & licenses 1

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

Addresses

Primary practice location

113 G North Marine Blvd
Jacksonville
NC, NC 28540-6508

Mailing address

325 Bannermans Mill Rd
Richlands, NC 28574-8105
Phone (910) 389-0901

National Provider Directory

National Provider Directory

Locations

113 N Marine Blvd
#G
Jacksonville, NC 28540

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1063158293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BANNERMANS MILL RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748105",
            "telephone_number": "910-389-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 G NORTH MARINE BLVD",
            "address_2": "JACKSONVILLE",
            "city": "NC",
            "state": "NC",
            "postal_code": "285406508",
            "telephone_number": "910-389-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA AUSTISM INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-389-0901",
        "authorized_official_credential": "MA-ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in NC, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.