NPIMap

Organization Active NPI

Unc

  • Community/Behavioral Health Agency
  • Carrboro, NC
National Provider Identifier
1104089713
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-068-107 Issued in NC
Legal business name
UNC
Practice address
400 Roberson St
Carrboro, NC 27510-2367
Phone
(919) 966-9803
Fax
(919) 966-9825
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Connie Renz, LCSW
Title
Director
Phone
(919) 966-9803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-068-107 NC Primary

Addresses

Primary practice location

400 Roberson St
Carrboro, NC 27510-2367

Mailing address

400 Roberson St
Carrboro, NC 27510-2367
Phone (919) 966-9803

Other identifiers 1

IdentifierTypeStateIssuer
6005671MedicaidNC

Other names 1

  • Unc Horizons-Outpatient Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Maternal Infant Health30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1104089713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "RENZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-966-9803",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-068-107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005671",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unc Horizons-Outpatient Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.