Comphrensive Medical Care

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

COMPHRENSIVE MEDICAL CARE

Practice address

1703 Country Club Rd
#102
Jacksonville, NC 28546-6008

Phone

(910) 346-9500

Fax

(910) 346-9516

NPI assigned

Dec 17, 2008

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberlyu Villanueva

Title

Business Manager

Phone

(910) 577-1264

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1467698738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "#102",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-346-9500",
            "fax_number": "910-346-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "#102",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-346-9500",
            "fax_number": "910-346-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPHRENSIVE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "KIMBERLYU",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "910-577-1264"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.