Active NPI
Diversified Multicultural Healthcare Research Services, Inc.
- Addiction Medicine (Family Medicine) Physician
- Durham, NC
National Provider Identifier
1457577413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- DIVERSIFIED MULTICULTURAL HEALTHCARE RESEARCH SERVICES, INC.
- Doing business as
- Diversified Research
- Practice address
- 116 Crutchfield St
Durham, NC 27704-2722 - Phone
- (919) 471-5474
- Fax
- (919) 471-5475
- NPI assigned
- Apr 18, 2007
- 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
- Basil D Halliday
- Title
- President & Ceo
- Phone
- (919) 471-5474
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
116 Crutchfield St
Durham, NC 27704-2722
Mailing address
116 Crutchfield St
Durham, NC 27704-2722
Phone (919) 471-5474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019YJ | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
| 5909109 | Medicaid | NC |
Other names 1
- Diversified Research
National Provider Directory
National Provider DirectoryLocations
116 Crutchfield St
Durham, NC 27704
Phone (919) 471-5474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241395200000",
"number": "1457577413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042722",
"telephone_number": "919-471-5474",
"fax_number": "919-471-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042722",
"telephone_number": "919-471-5474",
"fax_number": "919-471-5475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSIFIED MULTICULTURAL HEALTHCARE RESEARCH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2009-05-04",
"status": "A",
"authorized_official_last_name": "HALLIDAY",
"authorized_official_first_name": "BASIL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "919-471-5474"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF NC",
"identifier": "019YJ",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909109",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diversified Research",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
- Discovering Your Journey, PLLC
- Kyle Ditzian, BCBA
- Diverse Acceptance, Inc
- Diverse Family Services
- Diverse Family Services
- Diversified Multicultural Healthcare Research Services, Inc.
- Divine Behavioral Health Solutions L.L.C.
- Divine Connection of Durham, LLC
- Divine Intervention
- Divine Wonders Home Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.