Active NPI
The Dream Academy, Inc.
- Community/Behavioral Health Agency
- Fairmont, NC
National Provider Identifier
1265703201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE DREAM ACADEMY, INC.
- Practice address
- 302 N Main St
Fairmont, NC 28340-1730 - Phone
- (910) 618-7548
- NPI assigned
- Jan 23, 2012
- Last updated
- Jan 23, 2012
- 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
- Mr. Tony Bridgett
- Title
- President/Executive Director
- Phone
- (910) 618-7548
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Supports Brokerage Agency | 251X00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Foster Care Agency | 253J00000X | |||
| Bus | 347B00000X | |||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
302 N Main St
Fairmont, NC 28340-1730
Mailing address
127 Liberia St
Fairmont, NC 28340-2251
Phone (910) 618-7548
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1265703201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 LIBERIA ST",
"city": "FAIRMONT",
"state": "NC",
"postal_code": "283402251",
"telephone_number": "910-618-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N MAIN ST",
"city": "FAIRMONT",
"state": "NC",
"postal_code": "283401730",
"telephone_number": "910-618-7548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DREAM ACADEMY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "BRIDGETT",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "910-618-7548",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, NC
- Sprouting Therapy Services, PLLC
- Stephens Outreach Center, Inc
- Stephens Outreach Center, Inc
- Joshua David Sumner, PHARMD
- Tarheel Developmental Therapy Services, Inc.
- The Rossberry Home of Fairmont, Inc.
- Therapeutic Behavioral Healthcare Services
- Therapeutic Behavioral Healthcare Services
- Therapeutic Behavioral Healthcare Services
- Therapeutic Behavioral Healthcare Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.