1St Opportunity Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

1ST OPPORTUNITY BEHAVIORAL HEALTH

Practice address

2949 New Bern Ave
Suite 110-B
Raleigh, NC 27610-1248

Phone

(919) 345-6882

Fax

(919) 900-7018

NPI assigned

Feb 21, 2012

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronnell Levon McGill

Title

President

Phone

(919) 345-6882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1629341607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 HOPE DIAMOND CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105996",
            "telephone_number": "919-345-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "SUITE 110-B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-345-6882",
            "fax_number": "919-900-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST OPPORTUNITY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "RONNELL",
        "authorized_official_middle_name": "LEVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-345-6882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.