Organization Active NPI

Diverse Acceptance, Inc

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1194975045
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVERSE ACCEPTANCE, INC
Practice address
3622 Lyckan Pkwy
Suite 6005
Durham, NC 27707-2564
Phone
(919) 201-4562
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Monica Green
Title
Chief Executive Officer
Phone
(919) 201-4562

Specialties & licenses 1

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

Addresses

Primary practice location

3622 Lyckan Pkwy
Suite 6005
Durham, NC 27707-2564

Mailing address

3622 Lyckan Pkwy
Suite 6005
Durham, NC 27707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1194975045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 6005",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 6005",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-201-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE ACCEPTANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-201-4562"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Sep 29, 2008; 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.