NPIMap

Organization Active NPI

New Dawn Psychiatric Services, PLLC

  • Community/Behavioral Health Agency
  • Kinston, NC
National Provider Identifier
1245637701
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2010-01045 Issued in NC
Legal business name
NEW DAWN PSYCHIATRIC SERVICES, PLLC
Practice address
400 Glenwood Ave
Suite 8
Kinston, NC 28501-3870
Phone
(252) 686-8092
Fax
(252) 686-8092
NPI assigned
Nov 28, 2014
Last updated
Dec 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Dr. Punitha Rathnam, MDNPI 1558564005
Title
Owner/MD
Phone
(252) 686-8093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2010-01045 NC Primary

Addresses

Primary practice location

400 Glenwood Ave
Suite 8
Kinston, NC 28501-3870

Mailing address

400 Glenwood Ave
Suite 8
Kinston, NC 28501-3870
Phone (252) 686-8092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141222001824 NC Part B Supplier - Clinic/Group Practice 6204159320 Receives reassigned benefits from 16 practitioners
Practice locations: Goldsboro, NC; Greenville, NC; Kinston, NC

National Provider Directory

National Provider Directory

Locations

201 N Spence Ave
Goldsboro, NC 27534
Phone (252) 686-8091

900 W New Hope Rd
Goldsboro, NC 27534
Phone (252) 686-8091

835 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 686-8091

111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390

400 Glenwood Ave
Ste 8
Kinston, NC 28501
Phone (252) 686-8092

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1245637701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GLENWOOD AVE",
            "address_2": "SUITE 8",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013870",
            "telephone_number": "252-686-8092",
            "fax_number": "252-686-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GLENWOOD AVE",
            "address_2": "SUITE 8",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013870",
            "telephone_number": "252-686-8092",
            "fax_number": "252-686-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "RATHNAM",
        "authorized_official_first_name": "PUNITHA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "252-686-8093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "2010-01045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.