Active NPI
Carolina Behavioral Care
- Psychiatry Physician
- Roanoke Rapids, NC
National Provider Identifier
1407917081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CAROLINA BEHAVIORAL CARE
- Practice address
- 220 Smith Church Rd
Building C
Roanoke Rapids, NC 27870-4914 - Phone
- (252) 537-6619
- Fax
- (252) 537-4961
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisabeth Pesce
- Title
- Secretary
- Phone
- (904) 605-4986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
220 Smith Church Rd
Building C
Roanoke Rapids, NC 27870-4914
Mailing address
PO Box 1630
Pinehurst, NC 28370-1630
Phone (910) 295-6007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0122R | Other | NC | BCBS GROUP |
| 5904753 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1407917081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1630",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283701630",
"telephone_number": "910-295-6007",
"fax_number": "910-215-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SMITH CHURCH RD",
"address_2": "BUILDING C",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704914",
"telephone_number": "252-537-6619",
"fax_number": "252-537-4961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA BEHAVIORAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "PESCE",
"authorized_official_first_name": "ELISABETH",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "904-605-4986"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0122R",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904753",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
- Julie Ann Campbell-Barnes, FNP-C
- John Eric Campbell, CRNA
- Carelink Home Health Services, LLC
- Brandon Colby Carlisle, PA-C
- Karl C Carlson Jr., CP, BOCOP, CPT
- Carolina Behavioral Care
- Carolina Care of Halifax, LLC
- Carolina Otolaryngology Consultants
- Carolina Otolaryngology Consultants PA
- Brenna Carpenter, LCMHCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.