Patterns Behavioral Services North Carolina, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PATTERNS BEHAVIORAL SERVICES NORTH CAROLINA, INC

Practice address

3738 National Dr
Ste 110
Raleigh, NC 27612

Phone

(714) 833-8928

Fax

(714) 677-1785

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Ihab Shahawi

Title

Ceo

Phone

(657) 206-9594

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1225525884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 203",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928211706",
            "telephone_number": "657-444-9002",
            "fax_number": "714-677-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 NATIONAL DR",
            "address_2": "STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "714-833-8928",
            "fax_number": "714-677-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERNS BEHAVIORAL SERVICES NORTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAHAWI",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-206-9594"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346765013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Patrick
• Dale Andrew Patrick, DC
• Elizabeth R Patrick, LCSW
• David Patridge, CPO
• Linda Marie Patrikios, PT
• Anna Cameron Patterson, DPT
• Arthur Patterson Jr.
• Blakely M. Patterson
• Chareese Patterson
• Cynthia Veronica Patterson

• Behavior Analyst in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.