Mentoring for Change, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MENTORING FOR CHANGE, INC

Practice address

211 W 14TH St
Suite D
Greenville, NC 27834-4081

Phone

(252) 695-2004

Fax

(252) 695-2005

NPI assigned

May 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dalton Stephon Kornegay

Title

PHD

Phone

(252) 714-2145

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1104144682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 EVANS ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344102",
            "telephone_number": "252-695-2004",
            "fax_number": "252-695-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 14TH ST",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344081",
            "telephone_number": "252-695-2004",
            "fax_number": "252-695-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTORING FOR CHANGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "KORNEGAY",
        "authorized_official_first_name": "DALTON",
        "authorized_official_middle_name": "STEPHON",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "252-714-2145",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Cobb Memory, PH.D., MT-BC
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• Rafael A Mendez, DMD.
• Candace Mendoza, NP
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• Katherine Mercer
• Nichole A. Mercer, OTR/L
• Shawnya Mercer
• Gianna Marie Mercogliano, MD
• John T Meredith, MD

• Developmentally Disabled Services Day Training Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

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