Neuse Center Mhddsas

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

NEUSE CENTER MHDDSAS

Practice address

405 Middle St
New Bern, NC 28560-4930

Phone

(252) 636-1510

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Ellis

Title

Information Liaison

Phone

(252) 639-7720

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Neuse Center Mhddsas2 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.

• Trillium Health Resources

  • Community/Behavioral Health Agency
  • Ahoskie, NC
  • NPI 1841530375
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa B Gavin, LCSW

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1669582516
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1659428043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1636",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285631636",
            "telephone_number": "252-636-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MIDDLE ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604930",
            "telephone_number": "252-636-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUSE CENTER MHDDSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "INFORMATION LIAISON",
        "authorized_official_telephone_number": "252-639-7720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404939",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadee Senior Care Services Inc
• Sara Michelle Nami, ATR-BC L-CAT LCAS-A
• National Vision, Inc.
• NC DHHS Child and Family Well-Being
• Todd Brandon Nelson
• New Bern Arthritis Center PLLC
• New Bern Home Care, LLC
• New Bern Medicine and Sports
• New Bern Orthopaedic Assoc.,Inc.
• New Bern Professional Health Services, PC

• Group Psychotherapy Psychologist in New Bern, NC
• Providers in New Bern, NC by specialty
• Group Psychotherapy Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.