Organization Active NPI

Adaptive Integrated Methods, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
National Provider Identifier
1164788337
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL-032-572 Issued in NC
Legal business name
ADAPTIVE INTEGRATED METHODS, LLC
Practice address
400 Crutchfield St
Suite a
Durham, NC 27704-2771
Phone
(919) 471-5474
Fax
(919) 471-5475
NPI assigned
Apr 2, 2012
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Basil D Halliday
Title
Sole MBR
Phone
(919) 471-5474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL-032-572 NC Primary

Addresses

Primary practice location

400 Crutchfield St
Suite a
Durham, NC 27704-2771

Mailing address

400 Crutchfield St
Suite a
Durham, NC 27704-2771
Phone (919) 471-5474

National Provider Directory

National Provider Directory

Locations

400 Crutchfield St
Ste A
Durham, NC 27704
Phone (919) 471-5474

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1164788337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "919-471-5474",
            "fax_number": "919-471-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "919-471-5474",
            "fax_number": "919-471-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE INTEGRATED METHODS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "BASIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "919-471-5474"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-032-572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.