Organization Active NPI

Greater Vision Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morehead City, NC
National Provider Identifier
1346657533
Registry record updated Jul 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
229335 Issued in NC
Legal business name
GREATER VISION BEHAVIORAL HEALTH
Practice address
3820B Bridges St Ste B
Morehead City, NC 28557-2918
Phone
(252) 515-6515
NPI assigned
Jul 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2014

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

Authorized official

Name
Perry S. Jenkins, PMHNP-BC
Title
Ceo/Owner
Phone
(910) 467-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 229335 NC Primary

Addresses

Primary practice location

3820B Bridges St Ste B
Morehead City, NC 28557-2918

Mailing address

204 Kali CT
Richlands, NC 28574-8425

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405728000000",
    "number": "1346657533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 KALI CT",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820B BRIDGES ST STE B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572918",
            "telephone_number": "252-515-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER VISION BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-19",
        "last_updated": "2014-07-19",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "910-467-6865",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "229335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; 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.