Organization Active NPI

Ultimate Behavioral Health Care Services

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1598908519
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ULTIMATE BEHAVIORAL HEALTH CARE SERVICES
Practice address
2817 Cole Ridge Cir
Winston Salem, NC 27107-2667
Phone
(252) 349-1025
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Mr. John D Wallace
Title
Partner
Phone
(252) 349-1025

Specialties & licenses 1

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

Addresses

Primary practice location

2817 Cole Ridge Cir
Winston Salem, NC 27107-2667

Mailing address

2817 Cole Ridge Cir
Winston Salem, NC 27107-2667
Phone (252) 349-1025

National Provider Directory

National Provider Directory
Tax ID family
Ultimate Behavioral Health Care Services2 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": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1598908519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 COLE RIDGE CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072667",
            "telephone_number": "252-349-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 COLE RIDGE CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072667",
            "telephone_number": "252-349-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE BEHAVIORAL HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "252-349-1025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.