Active NPI
Amazing Kids of NC, Inc.
- Community/Behavioral Health Agency
- Wake Forest, NC
National Provider Identifier
1154623338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AMAZING KIDS OF NC, INC.
- Practice address
- 834 Saint Catherines Dr
Wake Forest, NC 27587-6639 - Phone
- (252) 767-7561
- Fax
- (919) 554-9670
- NPI assigned
- Nov 22, 2010
- 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
- Tina Mae Dunbar
- Title
- Owner / Manager
- Phone
- (252) 767-7561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
834 Saint Catherines Dr
Wake Forest, NC 27587-6639
Mailing address
834 Saint Catherines Dr
Wake Forest, NC 27587-6639
Phone (252) 767-7561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8303124 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Counselor
- Wake Forest, NC
- NPI 1356620991
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311120000000",
"number": "1154623338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 SAINT CATHERINES DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876639",
"telephone_number": "252-767-7561",
"fax_number": "919-554-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 SAINT CATHERINES DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876639",
"telephone_number": "252-767-7561",
"fax_number": "919-554-9670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING KIDS OF NC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-22",
"last_updated": "2011-07-20",
"status": "A",
"authorized_official_last_name": "DUNBAR",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "OWNER / MANAGER",
"authorized_official_telephone_number": "252-767-7561"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8303124",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
- Patricia Christine Alston, LCAS 21563
- Alternative Care Treatment Systems, Inc.
- Alternative Intervention Matters, Inc.
- Cynthia June Altman, RN
- Amani Psychological Services, PLLC.
- American Anesthesiology of North Carolina, PLLC
- Swathi Bindu Anche, MD
- Anchored Foundations LLC
- Anchored Mind Counseling
- Cherita Anders, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.