Robersonville Psychosocial Rehabilitation, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL033104 Issued in NC

Legal business name

ROBERSONVILLE PSYCHOSOCIAL REHABILITATION, LLC

Practice address

312 Saint Andrew St
Tarboro, NC 27886-5112

Phone

(252) 641-0925

Fax

(252) 641-0922

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Shaw Schutz, MSW LCSW LCAS CSI

Title

Ceo/President

Phone

(252) 714-1755

Specialties & licenses 1

Addresses

Tax ID family

Robersonville Psychosocial Rehabilitation 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.

• Robersonville Psychosocial Rehabilitation, LLC

  • Community/Behavioral Health Agency
  • Robersonville, NC
  • NPI 1700174265
  NPD tax ID

Locations

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1588952022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CROMWELL DR STE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585436",
            "telephone_number": "252-756-5654",
            "fax_number": "252-558-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865112",
            "telephone_number": "252-641-0925",
            "fax_number": "252-641-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERSONVILLE PSYCHOSOCIAL REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHUTZ",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "SHAW",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "252-714-1755",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW LCSW LCAS CSI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL033104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sheena J Roberson, LCMHC-A
• Jessica Ange Rogerson, PTA
• Emily Elizabeth Rogewitz, FNP
• Janie Lee Romine, SLP
• Charles Tyler Ross, PHARMD
• Royal Health Transportation

• Community/Behavioral Health Agency in Tarboro, NC
• Providers in Tarboro, 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 Jul 19, 2011; 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.