NPIMap

Organization Active NPI

Barium Springs Home for Children

  • Psychiatry Physician
  • Statesville, NC
National Provider Identifier
1235312372
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BARIUM SPRINGS HOME FOR CHILDREN
Practice address
135 Burroughs Loop
Statesville, NC 28677-6238
Phone
(701) 873-1011
Fax
(704) 832-2253
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
John Koppelmeyer
Title
President
Phone
(704) 873-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NC Primary

Addresses

Primary practice location

135 Burroughs Loop
Statesville, NC 28677-6238

Mailing address

156 Frazier Loop
Statesville, NC 28677-6238
Phone (704) 873-1011

Other identifiers 1

IdentifierTypeStateIssuer
891266EMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Barium Springs Home for Children58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1235312372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 FRAZIER LOOP",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286776238",
            "telephone_number": "704-873-1011",
            "fax_number": "704-832-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BURROUGHS LOOP",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286776238",
            "telephone_number": "701-873-1011",
            "fax_number": "704-832-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SPRINGS HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KOPPELMEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-873-1011"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891266E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.