Organization Active NPI

Institute of Behavior Management

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1235684663
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6507 Issued in NC
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

Updated by the provider on Aug 15, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6103509MedicaidNC

National Provider Directory

National Provider Directory

Locations

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": []
}

Other providers in Raleigh, NC

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.

Verify at the official NPI Registry.