Active NPI
Arbor Behavioral Health
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1104447242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ARBOR BEHAVIORAL HEALTH
- Practice address
- 1100 Navaho Dr Ste 123
Raleigh, NC 27609-7359 - Phone
- (919) 431-0085
- Fax
- (919) 573-0435
- NPI assigned
- Apr 29, 2020
- Last updated
- Apr 29, 2020
- 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. Russell P Hopfenberg, PH.D.
- Title
- Owner / Provider
- Phone
- (919) 431-0085
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1100 Navaho Dr Ste 123
Raleigh, NC 27609-7359
Mailing address
105 Autumn Dr
Chapel Hill, NC 27516-7744
Phone (919) 431-0085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001012 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1100 Navaho Dr
Ste 123
Raleigh, NC 27609
Phone (919) 412-7069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588118400000",
"number": "1104447242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 AUTUMN DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275167744",
"telephone_number": "919-431-0085",
"fax_number": "919-573-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NAVAHO DR STE 123",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097359",
"telephone_number": "919-431-0085",
"fax_number": "919-573-0435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARBOR BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A",
"authorized_official_last_name": "HOPFENBERG",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER / PROVIDER",
"authorized_official_telephone_number": "919-431-0085",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001012",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.