Iris Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IRIS BEHAVIORAL SERVICES

Practice address

311 Church Ave
High Point, NC 27262-4807

Phone

(336) 882-6572

Fax

(336) 882-6572

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Mae Iris Quick, B.S. PSYCHOLOGYNPI 1710181730

Title

Owner

Phone

(336) 882-6572

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mae Iris Quick, B.S.

  • Community/Behavioral Health Agency
  • High Point, NC
  • NPI 1710181730
  NPD (past) Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1093988677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CHURCH AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624807",
            "telephone_number": "336-882-6572",
            "fax_number": "336-882-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CHURCH AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624807",
            "telephone_number": "336-882-6572",
            "fax_number": "336-882-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "MAE",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-882-6572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S. PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in High Point, NC
• Providers in High Point, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.