Individual provider Active NPI

John C Mader

  • Marriage & Family Therapist
  • Chapel Hill, NC
National Provider Identifier
1639158892
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
470 Issued in NC
Practice address
1506 E Franklin St
Ste 202
Chapel Hill, NC 27514-2825
Phone
(919) 968-0231
NPI assigned
Jan 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 470 NC Primary

Addresses

Primary practice location

1506 E Franklin St
Ste 202
Chapel Hill, NC 27514-2825

Mailing address

110 Circadian Way
Chapel Hill, NC 27516-4604
Phone (919) 968-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 21, 2025 through Dec 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
470NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Integrative Psychotherapy Inc. Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1639158892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CIRCADIAN WAY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164604",
            "telephone_number": "919-968-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E FRANKLIN ST",
            "address_2": "STE 202",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142825",
            "telephone_number": "919-968-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "JOHN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-15",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.