Organization Active NPI

I Innovations, Inc.

  • Community/Behavioral Health Agency
  • Sanford, NC
National Provider Identifier
1265572879
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
I INNOVATIONS, INC.
Practice address
317 W Main St
Sanford, NC 27332-5943
Phone
(919) 292-2892
NPI assigned
Feb 6, 2007
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Tonja McLean Reid
Title
Owner
Phone
(910) 723-0532

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X
Developmental Disabilities Clinic/Center 261QD1600X
Adult Mental Health Clinic/Center 261QM0850X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Adult Care Home Facility 311ZA0620X
Mental Illness Community Based Residential Treatment Facility 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

317 W Main St
Sanford, NC 27332-5943

Mailing address

PO Box 1553
Sanford, NC 27331-1553
Phone (910) 723-0532

Other practice location 1

1221 E Caswell St
Wadesboro, NC 28170-2379
Phone (919) 770-9903

Other practice location 2

5023 Valley View Dr
Sanford, NC 27330-9232
Phone (919) 775-0920

Other practice location 3

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone (919) 776-8972

Other practice location 4

2105 Live Oak Dr
Sanford, NC 27330-9228
Phone (919) 775-0626

Other practice location 5

613 McIver St
Sanford, NC 27330-4546
Phone (910) 723-0532

Other identifiers 2

IdentifierTypeStateIssuer
3418880MedicaidNC
7806258MedicaidNC

National Provider Directory

National Provider Directory

Locations

130 Wicker St
Ste B
Sanford, NC 27330
Phone (919) 292-1755

1221 E Caswell St
Wadesboro, NC 28170
Phone (919) 770-9903

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1265572879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1553",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273311553",
            "telephone_number": "910-723-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W MAIN ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273325943",
            "telephone_number": "919-292-2892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 E Caswell St",
            "address_purpose": "LOCATION",
            "city": "Wadesboro",
            "state": "NC",
            "postal_code": "281702379",
            "country_code": "US",
            "telephone_number": "919-770-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5023 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273309232",
            "country_code": "US",
            "telephone_number": "919-775-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Ayrsley Town Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282734068",
            "country_code": "US",
            "telephone_number": "919-776-8972",
            "fax_number": "919-800-3920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 Live Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273309228",
            "country_code": "US",
            "telephone_number": "919-775-0626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 McIver St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304546",
            "country_code": "US",
            "telephone_number": "910-723-0532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I INNOVATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "MCLEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-723-0532"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418880",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806258",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.