NPIMap

Organization Active NPI

Mental Health Association of NC

  • Case Manager/Care Coordinator
  • Washington, NC
National Provider Identifier
1376673699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MENTAL HEALTH ASSOCIATION OF NC
Practice address
613 Taboro Street
Washington, NC 27889-4181
Phone
(252) 975-6666
Fax
(252) 975-6319
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bobby E Hyman, BA
Title
Program Manager
Phone
(252) 975-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X NC Primary

Addresses

Primary practice location

613 Taboro Street
Washington, NC 27889-4181

Mailing address

613 Tarboro St
Washington, NC 27889-4181
Phone (252) 975-6666

Other names 1

  • CAC of Beaufort Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cac of Beaufort2 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376673699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 TARBORO ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894181",
            "telephone_number": "252-975-6666",
            "fax_number": "252-975-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 TABORO STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894181",
            "telephone_number": "252-975-6666",
            "fax_number": "252-975-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "252-975-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAC of Beaufort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.