NPIMap

Organization Active NPI

New Directions - Treatment Center for Anxiety and Depression

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winston Salem, NC
National Provider Identifier
1366534869
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW DIRECTIONS - TREATMENT CENTER FOR ANXIETY AND DEPRESSION
Practice address
2990 Bethesda PL
Suite 602-B
Winston Salem, NC 27103-3318
Phone
(336) 768-8281
Fax
(336) 768-5685
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Dr. Alan Richard Cook, PH.D.NPI 1558453084
Title
Practice Manager
Phone
(336) 768-8281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2990 Bethesda PL
Suite 602-B
Winston Salem, NC 27103-3318

Mailing address

2990 Bethesda PL
Suite 602-B
Winston Salem, NC 27103-3318
Phone (336) 768-8281

Other identifiers 1

IdentifierTypeStateIssuer
890266CMedicaidNC

Other names 1

  • NEW DIRECTIONS TREATMENT CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000544 NC Part B Supplier - Clinic/Group Practice 9133149131 Receives reassigned benefits from 7 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

2990 Bethesda Pl
Ste 602
Winston Salem, NC 27103
Phone (336) 768-8281

2990 Bethesda Pl
Ste 602B
Winston Salem, NC 27103
Phone (336) 768-8281

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1366534869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 BETHESDA PL",
            "address_2": "SUITE 602-B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033318",
            "telephone_number": "336-768-8281",
            "fax_number": "336-768-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 BETHESDA PL",
            "address_2": "SUITE 602-B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033318",
            "telephone_number": "336-768-8281",
            "fax_number": "336-768-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS - TREATMENT CENTER FOR ANXIETY AND DEPRESSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-768-8281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890266C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW DIRECTIONS TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.