Active NPI
Institute of Behavior Management
- Community/Behavioral Health Agency
- Raleigh, NC
National Provider Identifier
1235684663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6507
- Legal business name
- INSTITUTE OF BEHAVIOR MANAGEMENT
- Practice address
- 1065 Bullard CT
Raleigh, NC 27615-6801 - Phone
- (919) 307-8656
- Fax
- (919) 882-1298
- NPI assigned
- Aug 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chester M West Jr.
- Title
- Director
- Phone
- (919) 395-7959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6507 | NC | Primary |
Addresses
Primary practice location
1065 Bullard CT
Raleigh, NC 27615-6801
Mailing address
1065 Bullard CT
Raleigh, NC 27615-6801
Phone (919) 307-8656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103509 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1065 Bullard Ct
Raleigh, NC 27615
Phone (919) 307-8656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471219200000",
"number": "1235684663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 BULLARD CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156801",
"telephone_number": "919-307-8656",
"fax_number": "919-882-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 BULLARD CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156801",
"telephone_number": "919-307-8656",
"fax_number": "919-882-1298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE OF BEHAVIOR MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "CHESTER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-395-7959",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "6507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103509",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.