CCDP Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-025-183 Issued in NC

Legal business name

CCDP INC

Doing business as

Coastal Children's Developmental Program

Practice address

6209 County Line Rd
New Bern, NC 28562-9478

Phone

(252) 638-5735

Fax

(252) 638-5735

NPI assigned

Feb 23, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Davis

Title

Assistant Director

Phone

(252) 638-9046

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Coastal Children's Developmental Program Doing business as

Tax ID family

CCDP Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• CCDP Inc

  dba Coastal Children's Developmental Program

  • Community/Behavioral Health Agency
  • New Bern, NC
  • NPI 1245365675
  NPD tax ID
• CCDP Inc.

  dba Coastal Children's Developmental Program Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pollocksville, NC
  • NPI 1316090509
  NPD tax ID

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1376678847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 US HIGHWAY 70 E STE C",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606818",
            "telephone_number": "252-638-9046",
            "fax_number": "252-638-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 COUNTY LINE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285629478",
            "telephone_number": "252-638-5735",
            "fax_number": "252-638-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCDP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "252-638-9046",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-025-183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MHL025183",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "011207",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Children's Developmental Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eduardo Castaneda, PHARMD
• Catholic Charities of the Diocese of Raleigh, Inc
• Michael M Catz, M.D.
• Esther Cazares-Ixtepan
• CCDP Inc (Coastal Children's Developmental Program)
• CCHC Endoscopy Center Inc
• Century Care of New Bern, Inc.
• Moreblessings Ruvimbo Chakanyuka, M.D.
• Kamesha Chalmers
• James Kenneth Chance, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in New Bern, NC
• Providers in New Bern, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.