Organization Active NPI

MG Developmental Support Services LLC

  • Community/Behavioral Health Agency
  • Cary, NC
National Provider Identifier
1619656444
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MG DEVELOPMENTAL SUPPORT SERVICES LLC
Practice address
107 Park James Way
Cary, NC 27518-6822
Phone
(919) 931-0442
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Monika GuptaNPI 1861827875
Title
Owner/Developmental Therapist
Phone
(919) 931-0442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

107 Park James Way
Cary, NC 27518-6822

Mailing address

107 Park James Way
Cary, NC 27518-6822
Phone (919) 931-0442

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1619656444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PARK JAMES WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186822",
            "telephone_number": "919-931-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PARK JAMES WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186822",
            "telephone_number": "919-931-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG DEVELOPMENTAL SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "OWNER/DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "919-931-0442"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.