Triad Coordinated Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRIAD COORDINATED SERVICES, INC.

Practice address

5009 High Point Rd
Suite 113
Greensboro, NC 27407-6231

Phone

(336) 808-3490

Fax

(336) 808-3506

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Copeland Petitfils, BS,QP

Title

Executive Director

Phone

(336) 808-3490

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Triad Coordinated Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Triad Coordinated Services, Inc.

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1356409544
  NPD tax ID

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508992447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 HIGH POINT RD",
            "address_2": "SUITE 113",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076231",
            "telephone_number": "336-808-3490",
            "fax_number": "336-808-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HIGH POINT RD",
            "address_2": "SUITE 113",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076231",
            "telephone_number": "336-808-3490",
            "fax_number": "336-808-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD COORDINATED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETITFILS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "COPELAND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-808-3490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS,QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408981",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triad Breast Imaging Center, LLC
• Triad Centers for Youth, Inc.
• Triad Child & Family Counseling, PLLC
• Triad Community Services, Inc.
• Triad Coordinated Services, Inc.
• Triad Counseling & Clinical Service LLC
• Triad Dentistry
• Triad Eye Associates of Greensboro, OD PA
• Triad Eye Center OD, PA
• Triad Family and Childrens Services LLC

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.