Organization Active NPI

North, Inc.

  • Developmental Disabilities Clinic/Center
  • Raleigh, NC
National Provider Identifier
1366549636
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
NORTH, INC.
Practice address
4505 Fair Meadows LN
Suite 203
Raleigh, NC 27607-6465
Phone
(919) 781-0661
Fax
(919) 881-6580
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Ms. Mary Sullivan
Title
Executive Director
Phone
(919) 781-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NC Primary

Addresses

Primary practice location

4505 Fair Meadows LN
Suite 203
Raleigh, NC 27607-6465

Mailing address

PO Box 445
Aberdeen, NC 28315-0445
Phone (910) 944-8125

Other identifiers 3

IdentifierTypeStateIssuer
3408784MedicaidNC
3418526MedicaidNC
6005619MedicaidNC

National Provider Directory

National Provider Directory

Locations

4505 Fair Meadows Ln
Ste 203
Raleigh, NC 27607
Phone (919) 781-0661

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1366549636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283150445",
            "telephone_number": "910-944-8125",
            "fax_number": "910-944-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076465",
            "telephone_number": "919-781-0661",
            "fax_number": "919-881-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-781-0661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408784",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418526",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005619",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.