Active NPI
Fifth River Mental Health
- Psychiatry Physician
- Winston Salem, NC
National Provider Identifier
1083911820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- FIFTH RIVER MENTAL HEALTH
- Practice address
- 755 Highland Oaks Dr
Suite 202
Winston Salem, NC 27103-7106 - Phone
- (336) 608-4060
- Fax
- (336) 665-8188
- NPI assigned
- Feb 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gisela E Knebl Kohl, MD
- Title
- President
- Phone
- (954) 558-3608
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NC | Primary |
Addresses
Primary practice location
755 Highland Oaks Dr
Suite 202
Winston Salem, NC 27103-7106
Mailing address
1112 Oakencroft CT
Lewisville, NC 27023-8727
Phone (336) 608-4060
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1922217306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1083911820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 OAKENCROFT CT",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270238727",
"telephone_number": "336-608-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 HIGHLAND OAKS DR",
"address_2": "SUITE 202",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037106",
"telephone_number": "336-608-4060",
"fax_number": "336-665-8188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIFTH RIVER MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "KNEBL KOHL",
"authorized_official_first_name": "GISELA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-558-3608",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.