Dorothea Dix Hospital

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

DOROTHEA DIX HOSPITAL

Practice address

820 S Boylan Ave
Raleigh, NC 27603-2246

Phone

(919) 733-5540

Fax

(919) 733-0743

NPI assigned

Feb 2, 2007

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. J. Luckey Welsh Jr., FACHE

Title

Director -Dsohf

Phone

(919) 855-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Regional Hospital Former legal business name

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1073651733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S BOYLAN AVE",
            "address_2": "3601 MAIL SERVICE CENTER",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032246",
            "telephone_number": "919-733-5540",
            "fax_number": "919-733-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032246",
            "telephone_number": "919-733-5540",
            "fax_number": "919-733-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHEA DIX HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "LUCKEY",
        "authorized_official_title_or_position": "DIRECTOR -DSOHF",
        "authorized_official_telephone_number": "919-855-4700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Regional Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ameda Doria
• Rebecca E Dorn, ARNP
• Inna Dorokhova
• Hazel Ann M Doronila, PA
• Dorothea Dix Hospital
• Dorothea Dix Hospital
• Dorothea Dix Hospital
• Dorothea Dix Hospital
• Dorothea Dix Hospital Pharmacy
• Crystal Ann Dorsey

• Psychiatric Hospital in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatric Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.