NPIMap

Organization Active NPI

The Carousel Center, Inc.

  • Medical Specialty Clinic/Center
  • Wilmington, NC
National Provider Identifier
1063696375
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
200001473568 Issued in NC
Legal business name
THE CAROUSEL CENTER, INC.
Practice address
1501 Dock St
Wilmington, NC 28401-4936
Phone
(910) 254-9898
Fax
(910) 254-9818
NPI assigned
Dec 21, 2007
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Amy L Feath
Title
Executive Director
Phone
(910) 254-9898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X C002813 NC
Medical Specialty Clinic/Center 261QM2500X 200001473568 NC Primary

Addresses

Primary practice location

1501 Dock St
Wilmington, NC 28401-4936

Mailing address

1501 Dock Street
Wilmington, NC 28401-4936
Phone (910) 254-9898

Other identifiers 2

IdentifierTypeStateIssuer
6005718MedicaidNC
89012Y5MedicaidNC

National Provider Directory

National Provider Directory

Locations

20 Medical Center Dr
Ste 106
Supply, NC 28462

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1063696375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DOCK STREET",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014936",
            "telephone_number": "910-254-9898",
            "fax_number": "910-254-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DOCK ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014936",
            "telephone_number": "910-254-9898",
            "fax_number": "910-254-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAROUSEL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "FEATH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-254-9898"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "C002813",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "200001473568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005718",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012Y5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

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