Organization Active NPI

Excel Therapeutic Services

  • Community/Behavioral Health Agency
  • Washington, NC
National Provider Identifier
1346364767
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXCEL THERAPEUTIC SERVICES
Practice address
156 West 15 Street
Washington, NC 27889-3646
Phone
(252) 940-0799
Fax
(252) 940-0949
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Antione Terrell Midgett, BA, SOCIOLOGY
Title
Owner
Phone
(919) 427-0812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

156 West 15 Street
Washington, NC 27889-3646

Mailing address

156 West 15 Street
Washington, NC 27889-3646
Phone (252) 940-0799

National Provider Directory

National Provider Directory

Locations

156 W 15th St
Washington, NC 27889
Phone (252) 940-0799

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1346364767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WEST 15 STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893646",
            "telephone_number": "252-940-0799",
            "fax_number": "252-940-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST 15 STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893646",
            "telephone_number": "252-940-0799",
            "fax_number": "252-940-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "MIDGETT",
        "authorized_official_first_name": "ANTIONE",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-427-0812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, SOCIOLOGY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.