Center for Behavior and Social Change, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTER FOR BEHAVIOR AND SOCIAL CHANGE, INC.

Practice address

4304 Forest Edge TRL
Durham, NC 27705-7346

Phone

(919) 270-3232

Fax

(919) 287-2305

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Keith Edward Green, M.ED., ADB

Title

Executive Director

Phone

(919) 270-3232

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

CBSC2 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.

• Center for Behavior and Social Change, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1780743864
  NPD tax ID

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1356510523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 FOREST EDGE TRL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057346",
            "telephone_number": "919-270-3232",
            "fax_number": "919-287-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 FOREST EDGE TRL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057346",
            "telephone_number": "919-270-3232",
            "fax_number": "919-287-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIOR AND SOCIAL CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-270-3232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., ADB"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409554",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Celarek, MS, RDN, LDN
• Celebrity Therapeutic Services,PLLC
• Andriana Cellini
• Linda Carime Cendales, M.D.
• Sarah Christine Cengel
• Center for Behavior and Social Change, Inc.
• Center for Child and Family Health
• Center for Health and Emotional Wellness, PLLC
• Center for Joyful Eating Inc.
• Center for Neuropsychiatry and Brain Stimulation (CNBS) PLLC

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, 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 Feb 21, 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.