Onslow Carteret Behavioral Healthcare Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-067-002 Issued in NC

Legal business name

ONSLOW CARTERET BEHAVIORAL HEALTHCARE SERVICES

Practice address

215 Memorial Dr
Jacksonville, NC 28546-6333

Phone

(910) 353-5118

Fax

(910) 353-4765

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel M. Jones

Title

Area Director

Phone

(910) 219-8000

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295894202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CENTER ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-219-8000",
            "fax_number": "910-353-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466333",
            "telephone_number": "910-353-5118",
            "fax_number": "910-353-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW CARTERET BEHAVIORAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "910-219-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-067-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN GROUP",
            "identifier": "5901887",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301604",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP MH PRACTITIONER GRP",
            "identifier": "6005558",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "43021",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404934",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onslow Ambulatory Services, Inc.
• Onslow Ambulatory Services, Inc.
• Onslow Anesthesia Associates, PA
• Onslow Cardiology, PA
• Onslow Carteret Behavioral Healthcare Services
• Onslow Community Outreach
• Onslow County Partnership for Children
• Onslow County Partnership for Children
• Onslow County Schools
• Onslow Doctors Care Incorporated

• Community/Behavioral Health Agency in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.