Woodbridge Alternative Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WOODBRIDGE ALTERNATIVE INC

Practice address

225 S Main St
Raeford, NC 28376-3203

Phone

(910) 878-0351

Fax

(910) 878-0362

NPI assigned

Oct 20, 2009

Last updated

Oct 20, 2009By 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. Jason A Townsend

Title

Billing Accounts Manager

Phone

(910) 580-2898

Specialties & licenses 2

Addresses

Tax ID family

Woodbridge Alternative 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.

• Woodbridge Alternative, Inc

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1295874527
  NPD tax ID

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1649506957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763203",
            "telephone_number": "910-878-0351",
            "fax_number": "910-878-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763203",
            "telephone_number": "910-878-0351",
            "fax_number": "910-878-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE ALTERNATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "910-580-2898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynnette Wilson, PA-C
• Rogina Wilson
• Dena Reay Winter, MSW, LCSWA
• Joan Womack, PTA
• Wendy Wong, LCMHCA
• Tiffany Wormack
• Jena Wright
• Tina Wright
• Keisha Elizabeth Yancey, FNP-C
• Michaela Denise York

• Psychiatric/Mental Health Nurse Practitioner in Raeford, NC
• Providers in Raeford, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.