NPIMap

Organization Active NPI

Carolina Behavioral Care

  • Psychiatry Physician
  • Enfield, NC
National Provider Identifier
1306908900
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CAROLINA BEHAVIORAL CARE
Practice address
107 N Dennis Street
Enfield, NC 27823-1311
Phone
(910) 690-6662
Fax
(910) 215-0179
NPI assigned
Dec 14, 2006
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Elisabeth Pesce
Title
Secretary
Phone
(904) 605-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

107 N Dennis Street
Enfield, NC 27823-1311

Mailing address

PO Box 1630
Pinehurst, NC 28370-1630
Phone (910) 295-6007

Other identifiers 2

IdentifierTypeStateIssuer
0122ROtherNCBCBS GROUP
5904751MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kathryn Collins12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1306908900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1630",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283701630",
            "telephone_number": "910-295-6007",
            "fax_number": "910-215-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N DENNIS STREET",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278231311",
            "telephone_number": "910-690-6662",
            "fax_number": "910-215-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0122R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904751",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.