NPIMap

Organization Active NPI

Sequel Tsi of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Pittsboro, NC
National Provider Identifier
1558690453
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SEQUEL TSI OF NORTH CAROLINA, LLC
Practice address
2480 Hadley Mill Rd
Pittsboro, NC 27312-7832
Phone
(919) 542-1101
Fax
(919) 542-5565
NPI assigned
Dec 24, 2009
Last updated
Dec 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
John Stupak
Title
President
Phone
(267) 419-8913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2480 Hadley Mill Rd
Pittsboro, NC 27312-7832

Mailing address

PO Box 1370
Pittsboro, NC 27312-1370
Phone (919) 542-1104

National Provider Directory

National Provider Directory
Tax ID family
Sequel Tsi of North Carolina LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1558690453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273121370",
            "telephone_number": "919-542-1104",
            "fax_number": "919-542-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 HADLEY MILL RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273127832",
            "telephone_number": "919-542-1101",
            "fax_number": "919-542-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL TSI OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "STUPAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-419-8913"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.