Individual provider Active NPI

Vincent John Cella, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Creedmoor, NC
National Provider Identifier
1235775545
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5012555 Issued in NC
Practice address
402 Main Street
Creedmoor, NC 27522
Phone
(919) 529-2474
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5012555 NC Primary

Addresses

Primary practice location

402 Main Street
Creedmoor, NC 27522

Mailing address

2058 Tanners Mill Dr
Durham, NC 27703-7823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200321000334 NC Practitioner - Nurse Practitioner 4183052335 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012555NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Behavioral Health Services P.C. Psychiatric/Mental Health CurrentSince Dec 31, 2019 Accepting new patients
Recovery Innovations Inc CurrentSince Apr 28, 2024 Accepting new patients
Rhema Counseling & Support Services, PC CurrentSince Jan 12, 2021 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Recovery Innovations, Inc Past Accepting new patients
Recovery Innovations, Inc Past Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

402 N Main St
Creedmoor, NC 27522
Phone (919) 529-2474

309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305

5317 Highgate Dr
Ste 214
Durham, NC 27713
Phone (919) 544-1300

1724 Roxie Ave
Fayetteville, NC 28304
Phone (910) 484-1212

107 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-1260

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1235775545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 TANNERS MILL DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN STREET",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-529-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELLA",
        "first_name": "VINCENT",
        "middle_name": "JOHN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

Verify at the official NPI Registry.