Mebane Behavioral Health, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2046 Issued in NC

Legal business name

MEBANE BEHAVIORAL HEALTH, PC

Practice address

105 E Center St
Suite B-3
Mebane, NC 27302-2420

Phone

(919) 563-2140

Fax

(919) 563-2188

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles K. Burnett, PHDNPI 1295749745

Title

President

Phone

(919) 563-2140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles K. Burnett, PH.D.

  • Clinical Psychologist
  • Mebane, NC
  • NPI 1295749745
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1487977021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E CENTER ST",
            "address_2": "SUITE B-3",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022420",
            "telephone_number": "919-563-2140",
            "fax_number": "919-563-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E CENTER ST",
            "address_2": "SUITE B-3",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022420",
            "telephone_number": "919-563-2140",
            "fax_number": "919-563-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBANE BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-563-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mayhew
• Qumane McClary
• Annette McClish
• Kerri Ann McEnroe, PHARMD
• Mebane ASC Investors LLC
• Mebane Drug Store Inc
• Mebane Family Chiropractic, P.C.
• Mebane Medical Clinic PA
• Mebane Ridge Assisted Living
• Medisolutions, Inc.

• Psychologist in Mebane, NC
• Providers in Mebane, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.