NPIMap

Organization Active NPI

Premier Behavioral Services Inc

  • Community/Behavioral Health Agency
  • Tabor City, NC
National Provider Identifier
1609105592
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL 024 082 Issued in NC
Legal business name
PREMIER BEHAVIORAL SERVICES INC
Practice address
104 Industrial Park Road
Tabor City, NC 28463-1665
Phone
(910) 653-3040
Fax
(910) 653-3040
NPI assigned
Dec 23, 2009
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Santhosh Augustine, MD
Title
President
Phone
(910) 733-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL 024 082 NC Primary

Addresses

Primary practice location

104 Industrial Park Road
Tabor City, NC 28463-1665

Mailing address

2003 Godwin Ave Ste B
Lumberton, NC 28358-3150
Phone (910) 671-1111

National Provider Directory

National Provider Directory
Tax ID family
Premier Behavior Ser Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

104 Industrial Park Rd
Tabor City, NC 28463
Phone (910) 653-3040

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1609105592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583150",
            "telephone_number": "910-671-1111",
            "fax_number": "910-671-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL PARK ROAD",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284631665",
            "telephone_number": "910-653-3040",
            "fax_number": "910-653-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "SANTHOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-733-2007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 024 082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tabor City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.