Guilford County Community Connections

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GUILFORD COUNTY COMMUNITY CONNECTIONS

Practice address

808 W English Rd
High Point, NC 27262-6818

Phone

(336) 882-6549

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Courtney Austin Wilson

Title

Ceo/President

Phone

(336) 882-6549

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Guilford County Community Connections2 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.

• Guilford County Community Connections, Inc.

  • Social Worker
  • High Point, NC
  • NPI 1043528433
  NPD tax ID

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1386945186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W ENGLISH RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272626818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W ENGLISH RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272626818",
            "telephone_number": "336-882-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD COUNTY COMMUNITY CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "AUSTIN WILSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "336-882-6549"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302622",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Grosso, AUD., CCC-A
• Guided Living Senior Care LLC
• Richard Samuel Guidetti, D.O.
• Guilford County
• Guilford County
• Guilford County Community Connections, Inc.
• Guilford County Department of Public Health
• Guilford County Department of Public Health
• Guilford County Department of Public Health
• Guilford County Department of Public Health

• Psychiatry Physician in High Point, NC
• Providers in High Point, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.