NPIMap

Organization Active NPI

Pavillon by the Sea

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, NC
National Provider Identifier
1538663166
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MHL-065-255 Issued in NC
Legal business name
PAVILLON BY THE SEA
Practice address
3420A Wrightsville Ave
Wilmington, NC 28403-4118
Phone
(910) 260-4050
NPI assigned
Mar 20, 2018
Organization subpart
Yes
Parent organization
PAVILLON INTERNATIONALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Cindy Keator
Title
Financial Assistant
Phone
(828) 694-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MHL-065-255 NC Primary

Addresses

Primary practice location

3420A Wrightsville Ave
Wilmington, NC 28403-4118

Mailing address

241 Pavillon PL
Mill Spring, NC 28756-5809
Phone (828) 694-2300

National Provider Directory

National Provider Directory
Tax ID family
Pavillon Outpatient Services8 organizations share this tax ID, including this one
Part of
Pavillon Outpatient Services

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1538663166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PAVILLON PL",
            "city": "MILL SPRING",
            "state": "NC",
            "postal_code": "287565809",
            "telephone_number": "828-694-2300",
            "fax_number": "828-694-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420A WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034118",
            "telephone_number": "910-260-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILLON BY THE SEA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAVILLON INTERNATIONAL",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "KEATOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "FINANCIAL ASSISTANT",
        "authorized_official_telephone_number": "828-694-2300"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "MHL-065-255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.