Brynn Marr Hospital, Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

BRYNN MARR HOSPITAL, INC

Doing business as

Brynn Marr Hospital

Practice address

192 Village Dr
Jacksonville, NC 28546

Phone

(910) 577-1400

Fax

(910) 577-2766

NPI assigned

Dec 23, 2005

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Vice President

Phone

(610) 768-3482

Specialties & licenses 1

Addresses

Other names 1

• Brynn Marr Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144207804. Details of each certification follow.

• CCN 34L002 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 34L002

Legal name

BRYNN MARR HOSPITAL

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Jul 23, 2001

Last certification

Apr 14, 2005

Beds

34

Ownership / control type

Non-profit – corporation

Facility address

192 Village Drive
Jacksonville, NC 28546

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.

• Robert McLain Adams IV, MD

  • Child & Adolescent Psychiatry Physician
  • Wilmington, NC
  • NPI 1275693517
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1144207804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 VILLAGE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-577-1400",
            "fax_number": "910-577-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 VILLAGE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-577-1400",
            "fax_number": "910-577-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYNN MARR HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3482"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brynn Marr Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syann Inencia Alejandria Bruce
• Kaitlynn Brumfield
• Lontonia Bryant, LCMHC
• Brynn Marr Hospital Inc (Brynn Marr Hospital)
• Brynn Marr Hospital Inc (Brynn Marr Hospital)
• Bta Counseling & Consulting, PLLC
• Christie Bucao, MSN, RN
• Alexandra Casemore Buck
• Mikayla Bucolo
• Morgan Budler-Ronzoni

• Psychiatric Residential Treatment Facility in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Psychiatric Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.