NPIMap

Organization Active NPI

Therapeutic Behavioral Services

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1063534840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THERAPEUTIC BEHAVIORAL SERVICES
Practice address
1527 Earl Dr
Greensboro, NC 27406-4807
Phone
(336) 299-0754
Fax
(336) 299-0755
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wanda Knight
Title
Executive Officer
Phone
(336) 299-0754

Specialties & licenses 1

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

Addresses

Primary practice location

1527 Earl Dr
Greensboro, NC 27406-4807

Mailing address

PO Box 77165
Greensboro, NC 27417-7165
Phone (336) 299-0754

Other identifiers 1

IdentifierTypeStateIssuer
8301297GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic Behavioral Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063534840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77165",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274177165",
            "telephone_number": "336-299-0754",
            "fax_number": "336-299-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 EARL DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064807",
            "telephone_number": "336-299-0754",
            "fax_number": "336-299-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-299-0754"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301297G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.