Roanoke Rapids Graded School District

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0693 Issued in NC

Legal business name

ROANOKE RAPIDS GRADED SCHOOL DISTRICT

Practice address

536 Hamilton St
Roanoke Rapids, NC 27870-2702

Phone

(252) 519-7108

Fax

(252) 535-5919

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen R Burnett, LPA

Title

Mental Health Director

Phone

(252) 519-7108

Specialties & licenses 1

Addresses

Tax ID family

Roanoke Rapids Graded School District2 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.

• Roanoke Rapids Graded School District

  • Speech-Language Pathologist
  • Roanoke Rapids, NC
  • NPI 1548390065
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Mary Youngblood

  • Speech-Language Pathologist
  • Roanoke Rapids, NC
  • NPI 1134260334
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407999899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 HAMILTON ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702702",
            "telephone_number": "252-519-7108",
            "fax_number": "252-535-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 HAMILTON ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702702",
            "telephone_number": "252-519-7108",
            "fax_number": "252-535-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE RAPIDS GRADED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MENTAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-519-7108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "0693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Rice, PT
• Felicia Mason Richardson, LCSW, MSW
• Tawanda Richardson
• Maragaret Louise Ricks
• Rite Aid
• Roanoke Rapids Graded School District
• Roanoke Rapids Opco, LLC
• Roanoke Valley Cancer Center Inc.
• Roanoke Valley Health Services
• Roanoke Valley Health Services

• Clinical Child & Adolescent Psychologist in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Clinical Child & Adolescent Psychologist in North Carolina

• 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.