Sandhills Center for Mental Health, Developmental Disabilities and Sub

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SANDHILLS CENTER FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUB

Practice address

704 Old Lilesville Rd
Wadesboro, NC 28170-2820

Phone

(704) 694-6588

Fax

(704) 694-6706

NPI assigned

Sep 29, 2008

Last updated

Sep 29, 2008By 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. Tommy E. Scott

Title

Cfo

Phone

(910) 673-9111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1073763900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273760009",
            "telephone_number": "910-673-9111",
            "fax_number": "910-673-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 OLD LILESVILLE RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702820",
            "telephone_number": "704-694-6588",
            "fax_number": "704-694-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS CENTER FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-673-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Carpenter Jr. (Second to Nature)
• Norileen Rosales, OTR
• S & C Youth Homes Inc
• S & C Youth Homes Inc.
• Lolade T Samuel, DDS
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Dyral Keith Shankle
• Samantha Shankle
• Rachel Chaya Shemtov, MD
• Sheila Kelly Sikes, RN BSN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wadesboro, NC
• Providers in Wadesboro, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.