Carteret Clinic for Adolescents and Children

Organization Active NPI Pediatrics Physician · Morehead City, NC

NPI 1609833490 · NPPES record last updated Mar 19, 2015

Key facts

NPI
1609833490
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
16287 (NC)
Legal business name
CARTERET CLINIC FOR ADOLESCENTS AND CHILDREN
Practice address
3510 John Platt Dr
Morehead City, NC 28557-4321
Phone
(252) 726-0511
Fax
(252) 726-7441
NPI assigned
Apr 27, 2006
Organization subpart
No

Authorized official

Name
Laurie Partusch-Whitt, RN
Title
Office Manager
Phone
(252) 726-0511

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3510 John Platt Dr
Morehead City, NC 28557
Phone (252) 726-0511

221 Professional Cir
#B
Morehead City, NC 28557

312 Commerce Ave
Morehead City, NC 28557

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X 4461 NC
Cognitive & Behavioral Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TB0200X 1501 NC
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X 16287 NC Yes
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X 200700362 NC
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X 9800605 NC
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X 201519 NC
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X 200683 NC
Pediatric Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0200X 300102 NC
Pediatric Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0200X 005003504 NC
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X 5006954 NC

Addresses

Primary practice location

3510 John Platt Dr
Morehead City, NC 28557-4321

Mailing address

3510 John Platt Dr
Morehead City, NC 28557-4321
Phone (252) 726-0511

Other identifiers

IdentifierTypeStateIssuer
5911756MedicaidNC
0260HOtherNCBC/BS

Other names

  • Carteret Children's Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 19, 2015.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1609833490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574321",
            "telephone_number": "252-726-0511",
            "fax_number": "252-726-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574321",
            "telephone_number": "252-726-0511",
            "fax_number": "252-726-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET CLINIC FOR ADOLESCENTS AND CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "PARTUSCH-WHITT",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-726-0511",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4461",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "1501",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "16287",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200700362",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9800605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201519",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200683",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300102",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "005003504",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5006954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911756",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0260H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carteret Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead City, NC

All providers in Morehead City, NC · Pediatrics Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.