NPIMap

Organization Active NPI

Albemarle Mental Health Center

  • Clinical Neuropsychologist
  • Swanquarter, NC
National Provider Identifier
1437327335
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
ALBEMARLE MENTAL HEALTH CENTER
Practice address
1095 Main Street
Swan Quarter, NC 27885-9753
Phone
(252) 926-3751
Fax
(252) 926-9502
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Charles R Franklin
Title
Area Director
Phone
(252) 335-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

1095 Main Street
Swan Quarter, NC 27885-9753

Mailing address

1095 Main Street
Swan Quarter, NC 27885-9753
Phone (252) 926-3751

Other identifiers 1

IdentifierTypeStateIssuer
5907779MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Albemarle Mental Health Center37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1437327335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MAIN STREET",
            "city": "SWAN QUARTER",
            "state": "NC",
            "postal_code": "278859753",
            "telephone_number": "252-926-3751",
            "fax_number": "252-926-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 MAIN STREET",
            "city": "SWAN QUARTER",
            "state": "NC",
            "postal_code": "278859753",
            "telephone_number": "252-926-3751",
            "fax_number": "252-926-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "252-335-1113"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907779",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swanquarter, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.