Fernandez Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

COO1434 Issued in NC

Legal business name

FERNANDEZ COMMUNITY SERVICES

Practice address

314 Millbrook Road
Suite 105
Raleigh, NC 27609-4389

Phone

(919) 926-7503

Fax

(919) 926-7508

NPI assigned

Aug 13, 2009

Last updated

Oct 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Edward Sloan Jr., MSW/LCSW

Title

Executive Director

Phone

(919) 926-7503

Specialties & licenses 3

Addresses

Tax ID family

Family Service for Adult and Childrenllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Family Service for Adult and Children,LLC

  • Mental Health Counselor
  • Wilson, NC
  • NPI 1518267004
  NPD tax ID

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1326270075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MILLBROOK ROAD",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094389",
            "telephone_number": "919-926-7503",
            "fax_number": "919-926-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MILLBROOK ROAD",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094389",
            "telephone_number": "919-926-7503",
            "fax_number": "919-926-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-926-7503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW/LCSW"
    },
    "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": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "COO1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Ferguson, R.N., M.S.N., N.P.-C
• Randolph C Ferguson, CERTIFIED PEDORTHIST
• Amelia Lisette Fernald, CRNA
• Yanet Fernandez Cerda
• Fernandez Community Center, LLC
• Fernandez Familia Clinic
• Anthony Michael Fernandez, CCC-SLP
• Elise Milagros Fernandez, LPC
• Jorge Fernandez, NURSE PRACTITIONER
• Rachel Fernandez, CFO

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, 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 Oct 31, 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.

Verify at the official NPI Registry.