NPIMap

Organization Active NPI

Unc

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
National Provider Identifier
1265617302
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-068-107 Issued in NC
Legal business name
UNC
Practice address
101 Manning Dr
Women'S Hospital OBGYN Clinic C
Chapel Hill, NC 27514-4220
Phone
(919) 966-9803
NPI assigned
Jan 8, 2008
Organization subpart
Yes
Parent organization
MHL-068-107As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mrs. Constance Renz, LCSW
Title
Director
Phone
(919) 966-9803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-068-107 NC Primary

Addresses

Primary practice location

101 Manning Dr
Women'S Hospital OBGYN Clinic C
Chapel Hill, NC 27514-4220

Mailing address

400 Roberson St
Carrboro, NC 27510-2367
Phone (919) 966-9803

Other identifiers 1

IdentifierTypeStateIssuer
8300698BMedicaidNC

Other names 1

  • UNC-Horizons Clinic Community Support Other name

National Provider Directory

National Provider Directory
Tax ID family
Unc Phys and Assocs30 organizations share this tax ID, including this one
Part of
Unc Phys and Assocs

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

400 Roberson St
Carrboro, NC 27510
Phone (919) 960-3775

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1265617302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367",
            "telephone_number": "919-966-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "WOMEN'S HOSPITAL OBGYN CLINIC C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-966-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MHL-068-107",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "RENZ",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-966-9803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-068-107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300698B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC-Horizons Clinic Community Support",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.