NPIMap

Organization Active NPI

Autism Services, Incorporated

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1629138342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUTISM SERVICES, INCORPORATED
Practice address
1310 Corporation Pkwy
Suite H
Raleigh, NC 27610-1363
Phone
(919) 255-9011
Fax
(919) 255-9029
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Curtis Alton Bass Jr., MS
Title
Executive Director
Phone
(919) 255-9011

Specialties & licenses 1

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

Addresses

Primary practice location

1310 Corporation Pkwy
Suite H
Raleigh, NC 27610-1363

Mailing address

1310 Corporation Pkwy
Suite H
Raleigh, NC 27610-1363
Phone (919) 255-9011

Other identifiers 1

IdentifierTypeStateIssuer
3408927MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Autism Services Incorporated8 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.

Locations

1310 Corporation Pkwy
Ste H
Raleigh, NC 27610
Phone (919) 255-9011

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629138342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CORPORATION PKWY",
            "address_2": "SUITE H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101363",
            "telephone_number": "919-255-9011",
            "fax_number": "919-255-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CORPORATION PKWY",
            "address_2": "SUITE H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101363",
            "telephone_number": "919-255-9011",
            "fax_number": "919-255-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-255-9011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408927",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.