NPIMap

Organization Active NPI

Wake Forest University Health Sciences

Doing business as Amos Cottage Therapeutic Day Program

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1457652265
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-034-159 Issued in NC
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Doing business as
Amos Cottage Therapeutic Day Program
Practice address
231 Melrose St
Winston Salem, NC 27103-2005
Phone
(336) 713-7497
NPI assigned
Nov 10, 2010
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
David William Zaas, MD
Title
President
Phone
(336) 716-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-034-159 NC Primary

Addresses

Primary practice location

231 Melrose St
Winston Salem, NC 27103-2005

Mailing address

231 Melrose St
Winston Salem, NC 27103-2005

Other identifiers 2

IdentifierTypeStateIssuer
8301291MedicaidNC
00391OtherNCBCBS

Other names 1

  • Amos Cottage Therapeutic Day Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wake Forest University Health Sciences45 organizations share this tax ID, including this one
Part of
Wake Forest University Health Sciences

Other organizations with this tax ID 44

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

View all 44

Locations

231 Melrose St
Winston Salem, NC 27103
Phone (336) 713-7497

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1457652265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MELROSE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MELROSE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032005",
            "telephone_number": "336-713-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "enumeration_date": "2010-11-10",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ZAAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-716-2255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-034-159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301291",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00391",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amos Cottage Therapeutic Day Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.