Active NPI
I Innovations, Inc.
- Community/Behavioral Health Agency
- Sanford, NC
National Provider Identifier
1265572879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2023
- 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
- Tonja McLean Reid
- Title
- Owner
- Phone
- (910) 723-0532
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 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 Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418880 | Medicaid | NC | |
| 7806258 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.