NPIMap

Organization Active NPI

Smoky Mountain Center for MH DD Sas

  • Community/Behavioral Health Agency
  • Waynesville, NC
National Provider Identifier
1619136470
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SMOKY MOUNTAIN CENTER FOR MH DD SAS
Practice address
91 Timberlane Rd
Waynesville, NC 28786-7927
Phone
(828) 454-1098
Fax
(828) 454-9242
NPI assigned
Jun 6, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Mr. Thomas McDevitt, BS
Title
Area Director
Phone
(828) 586-5501

Specialties & licenses 1

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

Addresses

Primary practice location

91 Timberlane Rd
Waynesville, NC 28786-7927

Mailing address

44 Bonnie LN
Sylva, NC 28779-8511
Phone (828) 586-5501

Other identifiers 1

IdentifierTypeStateIssuer
3404901MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Smoky Mountain Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1619136470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BONNIE LN",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798511",
            "telephone_number": "828-586-5501",
            "fax_number": "828-586-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 TIMBERLANE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287867927",
            "telephone_number": "828-454-1098",
            "fax_number": "828-454-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN CENTER FOR MH DD SAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MCDEVITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "828-586-5501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404901",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.