Organization Active NPI

Tarboro Psychosocial Rehabilitation

  • Community/Behavioral Health Agency
  • Tarboro, NC
National Provider Identifier
1073817607
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TARBORO PSYCHOSOCIAL REHABILITATION
Practice address
312 Saint Andrew St
Tarboro, NC 27886-5112
Phone
(252) 641-0925
Fax
(252) 641-0922
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Maya Nelson
Title
President
Phone
(252) 258-2563

Specialties & licenses 1

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

Addresses

Primary practice location

312 Saint Andrew St
Tarboro, NC 27886-5112

Mailing address

312 Saint Andrew St
Tarboro, NC 27886-5112
Phone (252) 641-0925

National Provider Directory

National Provider Directory

Locations

312 Saint Andrew St
Tarboro, NC 27886
Phone (252) 641-0925

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1073817607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865112",
            "telephone_number": "252-641-0925",
            "fax_number": "252-641-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865112",
            "telephone_number": "252-641-0925",
            "fax_number": "252-641-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO PSYCHOSOCIAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-258-2563"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

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