Individual provider Active NPI

Doretha Thomas Anthony

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • High Point, NC
National Provider Identifier
1205230737
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
58-1863838 Issued in NC
Practice address
211 S Centennial St
High Point, NC 27260-5215
Phone
(336) 899-1541
Fax
(336) 899-1511
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 58-1863838 NC Primary

Addresses

Primary practice location

211 S Centennial St
High Point, NC 27260-5215

Mailing address

211 S Centennial St
High Point, NC 27260-5215
Phone (336) 899-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58-1863838NCMDMental Health Clinic/Center (Including Community Mental Health Center)

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1205230737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CENTENNIAL ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605215",
            "telephone_number": "336-899-1541",
            "fax_number": "336-899-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CENTENNIAL ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605215",
            "telephone_number": "336-899-1541",
            "fax_number": "336-899-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS ANTHONY",
        "first_name": "DORETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "58-1863838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.