NPIMap

Organization Active NPI

Sandhills Center for Mental Health, Developmental Disabilities and Sub

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buies Creek, NC
National Provider Identifier
1477573897
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SANDHILLS CENTER FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUB
Practice address
5841 US 421 South
Buies Creek, NC 27506
Phone
(910) 893-5727
Fax
(910) 893-6404
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Tommy E. Scott
Title
Cfo
Phone
(910) 673-9111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5841 US 421 South
Buies Creek, NC 27506

Mailing address

PO Box 9
West End, NC 27376-0009
Phone (910) 673-9111

Other identifiers 1

IdentifierTypeStateIssuer
5901794MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sandhills Center for Mental Health Developmental Disabilities and Sub10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1477573897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273760009",
            "telephone_number": "910-673-9111",
            "fax_number": "910-673-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 US 421 SOUTH",
            "city": "BUIES CREEK",
            "state": "NC",
            "postal_code": "27506",
            "telephone_number": "910-893-5727",
            "fax_number": "910-893-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS CENTER FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-673-9111"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901794",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buies Creek, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.