Organization Active NPI

Guilford Behavioral Services, PLLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1134587157
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC10773 Issued in NC
Legal business name
GUILFORD BEHAVIORAL SERVICES, PLLC
Practice address
307 S Chapman St
Greensboro, NC 27403-1613
Phone
(336) 404-9286
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Daniel Lee Sander, PHD, LPC
Title
Sole/Managing Member
Phone
(336) 404-9286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PC10773 NC Primary

Addresses

Primary practice location

307 S Chapman St
Greensboro, NC 27403-1613

Mailing address

307 S Chapman St
Greensboro, NC 27403-1613
Phone (336) 404-9286

Other identifiers 1

IdentifierTypeStateIssuer
1528122769MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1134587157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S CHAPMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031613",
            "telephone_number": "336-404-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S CHAPMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031613",
            "telephone_number": "336-404-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD BEHAVIORAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE/MANAGING MEMBER",
        "authorized_official_telephone_number": "336-404-9286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "PC10773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528122769",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.