NPIMap

Organization Active NPI

Community Based Alternatives for Youth

Doing business as CBAY Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dallas, NC
National Provider Identifier
1649358433
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-036-220 Issued in NC
Legal business name
COMMUNITY BASED ALTERNATIVES FOR YOUTH
Doing business as
CBAY Inc.
Practice address
815 Limerick Drive
Dallas, NC 28034-9420
Phone
(704) 865-3525
Fax
(704) 865-3520
NPI assigned
Nov 1, 2006
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Mike McNeal
Title
Director of Operations
Phone
(704) 865-3525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-036-220 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-036-220 NC Primary

Addresses

Primary practice location

815 Limerick Drive
Dallas, NC 28034-9420

Mailing address

PO Box 4003
Gastonia, NC 28054-0020
Phone (704) 865-3525

Other identifiers 1

IdentifierTypeStateIssuer
6603777MedicaidNC

Other names 1

  • CBAY Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cbay Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1649358433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4003",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540020",
            "telephone_number": "704-865-3525",
            "fax_number": "704-865-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LIMERICK DRIVE",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280349420",
            "telephone_number": "704-865-3525",
            "fax_number": "704-865-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED ALTERNATIVES FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "704-865-3525"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-036-220",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-036-220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBAY Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, NC

Sources for this page

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