NPIMap

Organization Active NPI

Kidspeace National Centers of North America, Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1124362819
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5146A Issued in NC
Legal business name
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.
Practice address
2711 Breezewood Ave FL 1
Fayetteville, NC 28303-5526
Phone
(910) 223-0949
Fax
(910) 223-9626
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Michele Jany
Title
Contract Specialist II
Phone
(610) 799-8473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5146A NC Primary

Addresses

Primary practice location

2711 Breezewood Ave FL 1
Fayetteville, NC 28303-5526

Mailing address

4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 799-8473

Other identifiers 1

IdentifierTypeStateIssuer
5146AOtherNCLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace National Centers of North America Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

2711 Breezewood Ave
Fl 1
Fayetteville, NC 28303
Phone (910) 223-0949

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1124362819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782574",
            "telephone_number": "610-799-8473",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 BREEZEWOOD AVE FL 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035526",
            "telephone_number": "910-223-0949",
            "fax_number": "910-223-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "JANY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CONTRACT SPECIALIST II",
        "authorized_official_telephone_number": "610-799-8473"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "5146A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5146A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.