Sunnybrook PRTF

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SUNNYBROOK PRTF

Practice address

6540 Ryefield Dr
Fayetteville, NC 28314-1802

Phone

(910) 853-5689

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Rashae N Williams

Title

Ceo

Phone

(910) 853-5689

Specialties & licenses 1

Addresses

Other names 1

• SUNNYBROOK PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY, LLC Former legal business name

Electronic endpoints 2

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1083365704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 RYEFIELD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141802",
            "telephone_number": "910-853-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 RYEFIELD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141802",
            "telephone_number": "910-853-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK PRTF",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RASHAE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-853-5689",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CAROLINASERVICES910@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6540 Ryefield Dr",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283141802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "THESUNNYBROOKPRTF@YAHOO.COM",
            "affiliation": "N",
            "address_1": "6540 Ryefield Dr",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283141802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SUNNYBROOK PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Fayetteville, NC
• Psychiatric Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.