NPIMap

Organization Active NPI

Thompson Child & Family Focus

  • Psychiatric Residential Treatment Facility
  • Lake Waccamaw, NC
National Provider Identifier
1134474786
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
THOMPSON CHILD & FAMILY FOCUS
Practice address
210 Rube McCray Cir
Lake Waccamaw, NC 28450-1943
Phone
(704) 536-0375
Fax
(704) 531-9266
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Mary Elizabeth Porras Kantrowitz
Title
Accounts Receivable
Phone
(704) 536-0375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NC Primary

Addresses

Primary practice location

210 Rube McCray Cir
Lake Waccamaw, NC 28450-1943

Mailing address

6800 Saint Peters LN
Matthews, NC 28105-8458
Phone (704) 536-0375

Other identifiers 1

IdentifierTypeStateIssuer
0000000MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Thompson Child and Family Focus28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1134474786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SAINT PETERS LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058458",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RUBE MCCRAY CIR",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284501943",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON CHILD & FAMILY FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "PORRAS KANTROWITZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "704-536-0375"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Waccamaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.